Individual
ROBERT IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4631 N ORACLE RD, #175, TUCSON, AZ 85705-1784
(520) 408-1200
(520) 408-2552
Mailing address
11103 WEST AVE, SUITE 6, SAN ANTONIO, TX 78213-1370
(210) 524-6803
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1396
AZ
Other
Enumeration date
12/20/2006
Last updated
07/09/2007
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