PAULA C. PETERSON, OD, PC
Optometry in Tucson, AZ

License number
Arizona 0477
Category
Optometry
Type
Optometrist
Owner
Name: MRS. STACIA A DECKER
Title: VP OF RETAIL
Phone: (520) 327-6215
Address
Address
440 N ALVERNON WAY, Tucson, AZ 85711
National Provider ID: 1083932016
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PAULA C. PETERSON, O.D., PC

11802 E Wagon Trl Rd, Tucson, AZ 85749

Registration:
Nov 26, 2001
State ID:
-1009774-5
Expiration:
PERPETUAL
Secretarys:
Paula C Peterson Od (President), 11802 E Wagon Trl Rd, Tucson, AZ 85749 (Physical),John F Peterson (Secretary), 11802 E Wagon Trl Rd, Tucson, AZ 85749 (Physical)
Agent:
Charles R Smith,600 E Speedway, Tucson, AZ 85705 (Physical)
Business type:
HEALTH CARE

Optometry licenses in Arizona