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Individual

DR. STEPHEN D PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
960 E FRY BLVD, SIERRA VISTA, AZ 85635-2640
(520) 515-3937
(520) 515-3860
Mailing address
960 E FRY BLVD, SIERRA VISTA, AZ 85635-2640
(520) 515-3937
(520) 515-3860

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1061
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500802002
AZ
Enumeration date
08/16/2005
Last updated
08/26/2011
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