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Individual

DR. PHILIP LLOYD CREPS

Active
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Individual

DR. PHILIP LLOYD CREPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
02001636
IN
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
5101011298
MI
2084P0800X
Psychiatry Physician
200400631
MO
2084P0800X
Psychiatry Physician
Primary
20186
CA
2084P0802X
Addiction Psychiatry Physician
2004001631
MO
2084P0804X
Child & Adolescent Psychiatry Physician
02001636
IN
2084P0804X
Child & Adolescent Psychiatry Physician
2004001631
MO
208D00000X
General Practice Physician
02001636
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200045000
—
IN
Enumeration date
07/27/2006
Last updated
12/09/2024
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