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Individual

LARRY ALLGOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
5870 E BROADWAY BLVD, SPACE #506, TUCSON, AZ 85711-3914
(520) 745-0229
(520) 745-5488
Mailing address
11103 WEST AVE, STE 6, SAN ANTONIO, TX 78213-1370
(210) 524-6803
(210) 524-6587

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1194
AZ

Other

Enumeration date
12/14/2006
Last updated
07/09/2007
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