Individual
MALLORI PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
825 NE GATEWAY DR STE 124, GRIMES, IA 50111-1307
(515) 500-6873
(515) 500-6874
Mailing address
101 CYCLONE LN, MADRID, IA 50156-7610
(515) 293-0708
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
091352
IA
Other
Enumeration date
05/21/2018
Last updated
04/03/2025
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