Individual
DR. S AMIR ALI TAVAKOLI ISFAHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
11610 S MEMORIAL PKWY, HUNTSVILLE, AL 35803-2152
(256) 881-3763
(256) 881-5327
Mailing address
1200 PRESIDENTS WAY SE, HUNTSVILLE, AL 35803-3673
(256) 797-3606
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-C19-TA-840
AL
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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