DESERT OPHTHALMOLOGY, P.C.
Medical Practice at Hospital Dr, Globe, AZ

License number
Arizona 5469
Category
Medical Practice
Type
Ophthalmology
Owner
Name: GARY ALAN GUSTASON M.D.
Title: PRESIDENT
Phone: (928) 425-5203
Address
Address 2
5860 S Hospital Dr STE 101, Globe, AZ 85501
9615 N 19Th St, Phoenix, AZ 85020
National Provider ID: 1144328485
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DESERT OPHTHALMOLOGY, PC

9615 N 19 St, Phoenix, AZ 85020

Industry:
Medical Doctor's Office
Registration:
Apr 24, 1978
State ID:
-0115405-4
Expiration:
PERPETUAL
President/ceo, Medical Doctor, Principal:
Gary A Gustason (President/ceo, Medical Doctor, Principal), 9615 N 19 St, Phoenix, AZ 85020 (Physical)
Agent:
Feola & Traica Pc,2800 N Central Ave STE 1400, Phoenix, AZ 85004 (Physical)

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