PETER LANGENFELD OD PC
Optometry in Tucson, AZ

License number
Arizona 1200
Category
Optometry
Type
Optometrist
Owner
Name: PETER LANGENFELD OD
Title: PROPRIETOR
Phone: (520) 514-2029
Address
Address
5405 E Granite St Dmafb Bx BLDG 2527, Tucson, AZ 85707
National Provider ID: 1649451204
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PETER LANGENFELD, O.D., PC

5405 E Granite St, Tucson, AZ 85707

Status:
Inactive
Industry:
Ret Misc Merchandise
Doing business as:
Peter Langenfeld OD PC
Inactive reason:
Ad-dissolved-file annual report
Registration:
Nov 9, 2007
Inactive since:
Apr 19, 2010
State ID:
-1407782-0
Expiration:
PERPETUAL
Executive, Od, Owners:
Peter Longenfeld Od (President), 5405 E Granite St, Tucson, AZ 85707 (Physical),Peter Langenfeld (Executive, Od, Owner)
Agent:
Douglas J Newman,2650 N Country Clb Rd, Tucson, AZ 85716 (Physical)

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