SearchArizona156FX1800X

Dennis Ingram, STATE LICENSED OPTIC

NPI 1194938373 · on the registry since 2007

Practice

Address
1317 Joshua Ave
Suite H
Parker, AZ 85344
Phone
(928) 669-6971
Fax
(928) 669-8901

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona