Individual
WAYNE W BIXENMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6422 E SPEEDWAY BLVD STE 100, TUCSON, AZ 85710-1151
(520) 327-3487
(520) 886-5605
Mailing address
1500 N WILMOT RD, SUITE 180C, TUCSON, AZ 85712
(520) 886-4137
(520) 886-5605
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
11672
AZ
207WX0109X
Neuro-ophthalmology Physician
Primary
11672
AZ
Other
Enumeration date
11/01/2006
Last updated
05/12/2021
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