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DR. STEPHANIE SARA CHAN O.D.

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1700042249

Individual Registrant:
DR. STEPHANIE SARA CHAN O.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
520 S HILL ST C GLOBE, AZ 85501-2291 US
Tel: 602-955-1000  Fax: 602-508-4843

Contact information for business:
4800 N 22ND ST C PHOENIX, AZ 85016-4701 US
Tel: 602-955-1000  Fax: 602-508-4830

Registration Information:
NPI: 1700042249
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
AZ1956

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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