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Individual

PHILLIP DEMOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
8500 HERRING RUN RD, SEAFORD, DE 19973-5795
(302) 629-6691
(302) 629-7963
Mailing address
8500 HERRING RUN RD, SEAFORD, DE 19973-5795
(302) 629-6691

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
I3-0011428
DE

Other

Enumeration date
12/17/2020
Last updated
12/17/2020
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