JAMES K MCPHELAN OD PC
Optometry at Tatum Blvd, Phoenix, AZ

License number
Arizona 1020
Category
Optometry
Type
Optometrist
Owner
Name: DR. BRYAN FULLER O.D.
Title: VICE PRESIDENT
Phone: (602) 953-3850
Address
Address
16429 N Tatum Blvd, Phoenix, AZ 85032
National Provider ID: 1043485840
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JAMES K. MCPHELAN, O.D., A PROFESSIONAL CORPORATION

4665 E Cactus Rd, Phoenix, AZ 85032

Industry:
Optometrist's Office
Doing business as:
James K McPhelan OD PC
Registration:
Sep 19, 1980
State ID:
-0132522-6
Expiration:
PERPETUAL
Treasurer, Vice-Presidents:
James K Mcphelan (President, Od, Owner), 4665 E Cactus Rd, Phoenix, AZ 85032 (Physical),Bryan L Fuller (Treasurer, Vice-President), 4665 E Cactus Rd, Phoenix, AZ 85032 (Physical)

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