Individual
JACOB WYLEY HISCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7402 E BROADWAY BLVD, TUCSON, AZ 85710-1411
(520) 885-2052
(520) 886-7488
Mailing address
8456 E BROADWAY BLVD, TUCSON, AZ 85710-4010
(520) 885-2052
(520) 886-7488
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1643
AZ
Other
Enumeration date
10/24/2008
Last updated
03/11/2022
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