Phillip Keysor

NPI #1073785119 in Willard, Ohio

Provider Information

NPI Number
1073785119
Entity Type
Organization
Organization Name
Phillip Keysor
Primary Specialty
Optometrist
Enumeration Date
Mar 28, 2008
Last Updated
Apr 29, 2008

Practice Location

Address
219 CRESTWOOD DR
State
Ohio
ZIP Code
44890-1650
Phone
(419) 935-1505

Authorized Official

Name
PHILLIP KEYSOR
Title
OWNER/OPTOMETRIST
Phone
(419) 935-1505

Specialties & Taxonomy Codes

Specialty
Optometrist

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