Individual
DR. ANDREW ROUBOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7014 E CAMELBACK RD, 2140, SCOTTSDALE, AZ 85251-1227
(480) 945-9971
(480) 990-1100
Mailing address
7940 E CAMELBACK RD, BLDG 26 UNIT 601, SCOTTSDALE, AZ 85251-2616
(616) 283-3979
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2160
AZ
152W00000X
Optometrist
997339
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3494254
—
MI
01
—
900G065180
BCBS ID NUMBER
MI
Enumeration date
02/01/2006
Last updated
03/14/2017
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