DR. PHILLIP PETTERBORG, OD

Optometrist

Active Individual
NPI: 1376536813

Practice Address

300 TUSKEGEE BLVD
Dover Afb, DE 19902

Phone: (302) 677-2574

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes ODP-730 (ID)

Frequently Asked Questions

NPI 1376536813 is the National Provider Identifier for DR. PHILLIP PETTERBORG, OD, a Optometrist provider located in Dover Afb, DE. This NPI was enumerated on August 30, 2005.
DR. PHILLIP PETTERBORG, OD practices at 300 TUSKEGEE BLVD, Dover Afb, DE 19902.

Quick Facts

NPI
1376536813
Type
Individual
Enumerated
Aug 30, 2005
Last Updated
Jul 8, 2007

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