Business Name
Physician First Name
Alan
Physician Middle Initial
Jay
Physician Last Name
Gordon
Practice Name
Specialty
Ophthalmology
Office Designation
Primary
Address
1750 E Glendale Ave
85020-5505
85020-5505
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(602)242-4928
Business Website Address
Business Fax
(602)249-4813
ASPA Effective Date
1/4/1993
Business Name
Physician First Name
J.
Physician Middle Initial
Shepard
Physician Last Name
Bryan
Practice Name
Specialty
Ophthalmology
Office Designation
Primary
Address
1750 E Glendale Ave
85020-5505
85020-5505
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(602)242-4928
Business Website Address
Business Fax
(602)249-4813
ASPA Effective Date
4/9/1996
Business Name
Physician First Name
Stephen
Physician Middle Initial
A M
Physician Last Name
DeSouza
Practice Name
Specialty
Ophthalmology
Office Designation
Primary
Address
1750 E Glendale Ave
85020-5505
85020-5505
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(602)242-4928
Business Website Address
Business Fax
(602)249-4813
ASPA Effective Date
7/2/2007
Business Name
Physician First Name
Henry
Physician Middle Initial
Mark
Physician Last Name
Kwong
Practice Name
Specialty
Ophthalmology
Office Designation
Primary
Address
1750 E Glendale Ave
85020-5505
85020-5505
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(602)242-4928
Business Website Address
Business Fax
(602)249-4813
ASPA Effective Date
11/5/2007
Business Name
Physician First Name
Jaime
Physician Middle Initial
Rafael
Physician Last Name
Gaitan
Practice Name
Specialty
Ophthalmology
Office Designation
Primary
Address
1750 E Glendale Ave
85020-5505
85020-5505
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(602)242-4928
Business Website Address
Business Fax
(602)249-4813
ASPA Effective Date
10/6/2008
Business Name
Physician First Name
Rahul
Physician Middle Initial
Kutur
Physician Last Name
Reddy
Practice Name
Specialty
Ophthalmology
Office Designation
Primary
Address
1750 E Glendale Ave
85020-5505
85020-5505
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(602)242-4928
Business Website Address
Business Fax
(602)249-4813
ASPA Effective Date
11/7/2011
Business Name
Physician First Name
Matthew
Physician Middle Initial
J.
Physician Last Name
Welch
Practice Name
Specialty
Ophthalmology
Office Designation
Primary
Address
1750 E Glendale Ave
85020-5505
85020-5505
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(602)242-4928
Business Website Address
Business Fax
(602)249-4813
ASPA Effective Date
3/2/2015
Business Name
Physician First Name
Benjamin
Physician Middle Initial
Benny Aire
Physician Last Name
Bakall
Practice Name
Specialty
Ophthalmology
Office Designation
Primary
Address
1750 E Glendale Ave
85020-5505
85020-5505
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(602)242-4928
Business Website Address
Business Fax
(602)249-4813
ASPA Effective Date
11/4/2013
Business Name
Physician First Name
Kendra
Physician Middle Initial
Alane
Physician Last Name
Klein-Mascia
Practice Name
Specialty
Ophthalmology
Office Designation
Primary
Address
1750 E Glendale Ave
85020-5505
85020-5505
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(602)242-4928
Business Website Address
Business Fax
(602)249-4813
ASPA Effective Date
7/3/2017
Business Name
Physician First Name
Reda
Physician Middle Initial
A.
Physician Last Name
Issa
Practice Name
Specialty
Ophthalmology
Office Designation
Primary
Address
1750 E Glendale Ave
85020-5505
85020-5505
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(602)242-4928
Business Website Address
Business Fax
(602)249-4813
ASPA Effective Date
4/2/2018