Jeffrey Dean Phillips, OD

NPI #1811974900 in Saint Petersburg, Florida

Provider Information

NPI Number: 1811974900
Entity Type: Individual
Name: Jeffrey Dean Phillips, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Dec 29, 2005
Last Updated: Nov 4, 2009

Practice Location

Address: 1903 TYRONE BLVD N
City: Saint Petersburg
State: Florida
ZIP Code: 33710-4841
Phone: (727) 345-4035

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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