| Doctor Name: | DR. GLENN STEPHEN MCPHILLIPS |
| NPI Number: | 1104821222 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 248 |
| Business Practice Address: | 6 Office Park Cir Selma, AL - 367016506 |
| Business Phone Number: | 3348725636 |
| Business Fax Number: | 3348725199 |
| Mailing Address: | 6 Office Park Cir, SELMA |
| State: | AL |
| Postal Code: | 367016506 |
| Phone Number: | 3348725636 |
| Fax Number: | 3348725199 |
| NPI Enumeration Date: | 06/15/2005 |
| NPI Last Update Date: | 10/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 248 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |