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NPI Code Detail

MEDICARE: BRITTANY WARNER OD

MEDICARE: BRITTANY WARNER OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist34417CA
2152W00000XOptometristOPT-002486AZ

General Provider Information

NPI Number : 1528609096
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY WARNER OD
Provider Business Mailing Address
First Line : 1940 E ORION ST
Second Line :
City : TEMPE
State : AZ
Zip : 85283-3235
Country : US
Telephone Number : 623-500-9734
Fax Number :
Provider Business Practice Location Address
First Line : 3271 E QUEEN CREEK RD STE 107
Second Line :
City : GILBERT
State : AZ
Zip : 85297-8511
Country : US
Telephone Number : 480-892-3937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2019
Last Update Date : 06/16/2021

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