Phillip G. Koultourides, O.d. P.c.
NPI #1508192147 in Valparaiso, Indiana
Provider Information
- NPI Number
- 1508192147
- Entity Type
- Organization
- Organization Name
- Phillip G. Koultourides, O.d. P.c.
- Primary Specialty
- Optometrist
- Enumeration Date
- Nov 1, 2009
- Last Updated
- Nov 1, 2009
Practice Location
- Address
- 2400 MORTHLAND DR
- City
- Valparaiso
- State
- Indiana
- ZIP Code
- 46383-8329
- Phone
- (219) 465-2788
Authorized Official
- Name
- DR. PHILLIP KOULTOURIDES, O.D.
- Title
- PRESIDENT
- Phone
- (219) 365-8069
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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