MR. Theodore Phelps

NPI #1396102687 in Whiteland, Indiana

Provider Information

NPI Number
1396102687
Entity Type
Individual
Name
MR. Theodore Phelps
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Jan 19, 2016
Last Updated
Jan 19, 2016

Practice Location

Address
169 WEST ST
State
Indiana
ZIP Code
46184-1738
Phone
(317) 626-9335

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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