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Organization
PHILLIPS CHIROPRACTIC ,PLLC
Active
Organization
PHILLIPS CHIROPRACTIC ,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK B. PHILLIPS JR. D.C. (OWNER/PHYSICIAN)
(580) 357-8688
Entity
Organization
Contact information
Practice address
4010 NW CACHE RD, LAWTON, OK 73505-3634
(580) 357-8688
(580) 357-7483
Mailing address
4010 NW CACHE RD, LAWTON, OK 73505-3634
(580) 357-8688
(580) 357-7483
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
1907
OK
111NR0400X
Rehabilitation Chiropractor
1907
OK
133NN1002X
Nutrition Education Nutritionist
1907
OK
Other
Enumeration date
04/02/2008
Last updated
04/26/2012
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