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Individual

PHILLIP NATHANIEL FITCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1300 10TH AVE SW, WAVERLY, IA 50677
(319) 483-5185
Mailing address
PO BOX 53, WAVERLY, IA 50677-0053
(641) 780-5120

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002491
IA

Other

Enumeration date
05/13/2010
Last updated
08/24/2015
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