Phillip Warren Petterborg in Magnolia - Optometrist
Phillip Warren Petterborg - NPI 1376536813
Phillip Warren Petterborg is a Optometrist in Magnolia, Delaware. Phillip Warren Petterborg practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Phillip Warren Petterborg is 1376536813. The last update date is 2007-07-08.
Phillip Warren Petterborg's current location address is 906 E Pebworth Rd, Magnolia, Delaware. You can contact this provider via phone number 3026976176 and fax number 3026772525. The mailing address for Phillip Warren Petterborg is 906 E Pebworth Rd, Magnolia, Delaware. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip Warren Petterborg |
|---|---|
| Address | 906 E Pebworth Rd, Magnolia, Delaware |
| Phone Number | 3026976176 |
| Fax Number | 3026772525 |
| Sole Proprietor | X |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1376536813 |
|---|---|
| Provider Enumeration Date | 2005-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 906 E Pebworth Rd |
|---|---|
| City | Magnolia |
| State | Delaware (DE) |
| Post Code | 199621848 |
| Phone Number | 3026976176 |
| Fax Number | 3026772525 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | ODP-730 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Phillip Warren Petterborg by the Centers for Medicare & Medicaid Services?
The Phillip Warren Petterborg has been issued the NPI (National Provider Identifier) 1376536813 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Phillip Warren Petterborg's facilities are situated?
The facilities of Phillip Warren Petterborg are physically located at the following address: 906 E Pebworth Rd, Magnolia, DE, 199621848.
What is the area of specialization for Phillip Warren Petterborg, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Phillip Warren Petterborg is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376536813 to Phillip Warren Petterborg?
The Centers for Medicare & Medicaid Services originally issued the 1376536813 to Phillip Warren Petterborg on 2005-08-30.
When was the information regarding Phillip Warren Petterborg, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Phillip Warren Petterborg, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.