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Individual

IGOR KOZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
707 N ALVERNON WAY FL 3, TUCSON, AZ 85711-1827
(520) 694-1460
(520) 505-2476
Mailing address
655 N ALVERNON WAY STE 204, TUCSON, AZ 85711-1825

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
70154
AZ
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
70154
AZ

Other

Enumeration date
08/02/2011
Last updated
08/14/2025
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