Individual
DR. PHILLIP MICHAEL GUTHERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D., RPH
Contact information
Practice address
100 7TH ST SW STE B, CULLMAN, AL 35055-4265
(256) 775-3937
Mailing address
100 7TH ST SW STE B, CULLMAN, AL 35055-4265
(256) 775-3937
(256) 775-6001
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S791 TA327
AL
183500000X
Pharmacist
11485
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000047115
—
AL
Enumeration date
08/23/2005
Last updated
02/27/2012
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