Individual
DR. CHARLES NOLAN PHILPY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1607 S MAIN ST, LAMAR, CO 81052
(719) 336-3311
(719) 336-3172
Mailing address
1607 S MAIN ST, LAMAR, CO 81052-3825
(719) 336-3311
(719) 336-3172
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0003310
CO
Other
Enumeration date
06/14/2017
Last updated
11/18/2019
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