Individual
DR. JOHN BRAXTON PHIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
510 S SUTHERLAND AVE, MONROE, NC 28112-5061
(704) 289-6300
Mailing address
PO BOX 971, MONROE, NC 28111-0971
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2624
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2020
Last updated
04/16/2021
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