Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PHILLIP WARREN PETTERBORG, OD
ActiveDR. PHILLIP WARREN PETTERBORG, OD is a Optometrist healthcare provider located in DOVER AFB, Delaware. NPI 1376536813 is currently active in the NPPES registry. Verify at CMS.
Optometrist · DOVER AFB, DE
Registration Details
- NPI Number
- 1376536813
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2005 (20.933848018743 yrs)
- Last Updated
- Jul 8, 2007
- License
-
ODP-730 (ID)
Practice Information
- Address
-
300 TUSKEGEE BLVDDOVER AFB, DE, 199025300Browse DE providers · Browse ZIP 19902
- Phone
- 3026772574
- Fax
- 3026772526
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in DOVER AFB, DE
| Name | Credential | NPI |
|---|---|---|
| DR. PATRICK DANIEL SHORTER | O.D. | 1962438705 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.