Individual
DR. OVETTE VILLAVICENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D, PH.D.
Contact information
Practice address
3925 E FORT LOWELL RD STE 100, TUCSON, AZ 85712-1053
(520) 576-5110
(520) 529-7165
Mailing address
3925 E FORT LOWELL RD STE 100, TUCSON, AZ 85712-1053
(520) 576-5110
(520) 529-7165
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01073604A
IN
207W00000X
Ophthalmology Physician
Primary
50246
AZ
390200000X
Student in an Organized Health Care Education/Training Program
R72235
AZ
Other
Enumeration date
06/30/2010
Last updated
07/30/2020
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