EAST VALLEY GLAUCOMA INC
Medical Practice at Country Club Dr, Mesa, AZ

License number
Arizona 15705
Category
Medical Practice
Type
Specialist
Owner
Name: ROBERT C SPURNY M.D.
Title: OWNER
Phone: (480) 981-3317
Address
Address
1440 S Country Club Dr SUITE 24, Mesa, AZ 85210
National Provider ID: 1114465010
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EAST VALLEY GLAUCOMA, INC

1440 S Country Clb Dr #24, Mesa, AZ 85210

Status:
Inactive
Inactive reason:
Delinquent annual report
Registration:
Oct 5, 2005
Inactive since:
Jan 8, 2015
State ID:
-1229206-0
Expiration:
PERPETUAL
Secretarys:
Robert C Spurny (President), 3834 N Paseo Del Sol, Mesa, AZ 85207 (Physical),Margaret E Spurny (Secretary), 3834 N Paseo Del Sol, Mesa, AZ 85207 (Physical)
Business type:
HEALTH CARE

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