Philip Tanner Etchells, OD
NPI #1245348465 in Apple Valley, California
Provider Information
- NPI Number
- 1245348465
- Entity Type
- Individual
- Name
- Philip Tanner Etchells, OD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- OD
- Enumeration Date
- Aug 28, 2006
- Last Updated
- May 2, 2013
Practice Location
- Address
- 13692 APPLE VALLEY RD
- Address 2
- # 170
- City
- Apple Valley
- State
- California
- ZIP Code
- 92308
- Phone
- (760) 961-1919
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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