Organization
PHILIP W VALENTINE OD INC
Active
Organization
PHILIP W VALENTINE OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP W VALENTINE OD (OWNER)
(937) 492-1990
Entity
Organization
Contact information
Practice address
739 SPRUCE AVE, SIDNEY, OH 45365-3360
(937) 492-1990
(937) 492-7230
Mailing address
739 SPRUCE AVE, PO BOX 179, SIDNEY, OH 45365-3360
(937) 492-1990
(937) 492-7230
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
OH2815
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078679
—
OH
Enumeration date
03/06/2008
Last updated
06/03/2014
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