Individual
DR. PHILLIP FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
10010 E 81ST ST, SUITE 100, TULSA, OK 74133-4556
(918) 250-2020
Mailing address
10010 E 81ST ST, SUITE 100, TULSA, OK 74133-4556
(918) 250-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2847
OK
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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