Individual
DR. PHIL DOUGLAS FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
203 WATSON ST, PRATT, KS 67124-3066
(620) 672-5934
(620) 672-3550
Mailing address
PO BOX 1024, PRATT, KS 67124-1024
(620) 672-5934
(620) 672-3550
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10063
KS
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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