DR. Michael Icely, OD

NPI #1902127061 in Yuma, Arizona

Provider Information

NPI Number: 1902127061
Entity Type: Individual
Name: DR. Michael Icely, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 11, 2010
Last Updated: Feb 2, 2017

Practice Location

Address: 2149 W 24TH ST
City: Yuma
State: Arizona
ZIP Code: 85364-6136
Phone: (928) 726-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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