Individual
MR. THEODORE PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
169 WEST ST, WHITELAND, IN 46184-1738
(317) 626-9335
Mailing address
169 WEST ST, WHITELAND, IN 46184-1738
(317) 626-9335
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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