NPI 1447385802

Tracy Jon Montierth, OD

Practitioner Optometrist Safford, AZ

Practice location

Address: 1502 S 1st Ave STE 8, Safford, AZ 85546-2143
Phone: (928) 428-4360
Fax: (928) 424-4361

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 776 (AZ)

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Registry record

NPI: 1447385802
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Feb 2007
Record last updated: 16 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.