| NPI | 1174567184 |
|---|---|
| Doing Business As | PHILLIPS EYE INSTITUTE PROFESSIONAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | DOMINICA TALLARICO COO 612-222-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2024-03-21 |