Individual
DR. PHILLIP C. POPHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
G-4190 E. COURT ST., #877, BURTON, MI 48509-1718
(810) 743-4400
(810) 743-2740
Mailing address
6444 WOODBURNE CT, GRAND BLANC, MI 48439-9476
(810) 694-2237
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002520
MI
Other
Enumeration date
08/29/2006
Last updated
07/20/2010
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