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Individual

JOHN D TWELKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD, PHD

Contact information

Practice address
707 N ALVERNON WAY STE 301, TUCSON, AZ 85711-1848
(520) 694-1460
(520) 694-1464
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85756-7124
(520) 874-3500

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1202
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
709090
AZ
Enumeration date
11/17/2006
Last updated
05/24/2010
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