Organization Name: | CURTIS PHILLIPS DO PC |
NPI Number: | 1518276252 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CURTIS PHILLIPS (OWNER) |
Mailing Address: | 428 S Wilson St Vinita |
State: | OK US |
Postal Code: | 743014246 |
Phone Number: | 9182565021 |
Fax Number: | |
NPI Enumeration Date: | 09/29/2010 |
NPI Last Update Date: | 09/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 3379 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |