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Organization

PHILIP G NIX OD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHILIP G NIX O.D. (OWNER)
(765) 284-8460
Entity
Organization

Contact information

Practice address
4801 W CLARA LN, MUNCIE, IN 47304-5548
(765) 284-8460
(765) 284-0943
Mailing address
4801 W CLARA LN, MUNCIE, IN 47304-5548
(765) 284-8460
(765) 284-0943

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001928A
IN

Other

Enumeration date
01/22/2008
Last updated
01/07/2009
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