Individual
MR. PHILLIP THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 HILLSIDE CIR, CHARLESTOWN, IN 47111-1007
(502) 548-2163
(812) 565-2801
Mailing address
102 HILLSIDE CIR, CHARLESTOWN, IN 47111-1007
(502) 548-2163
(812) 565-2801
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
KY1358
KY
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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