Provider Demographics
NPI:1346983699
Name:BRIAN N STURGILL PLLC
Entity Type:Organization
Organization Name:BRIAN N STURGILL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:N
Authorized Official - Last Name:STURGILL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:801-472-6652
Mailing Address - Street 1:4312 E MULBERRY DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-6445
Mailing Address - Country:US
Mailing Address - Phone:801-472-6652
Mailing Address - Fax:
Practice Address - Street 1:2900 S PACIFIC AVE
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85365-3500
Practice Address - Country:US
Practice Address - Phone:928-314-0103
Practice Address - Fax:928-314-0119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-14
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty