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Organization

ROBERT M. PHILLIPS JR M.D. P.C.

Active
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Organization

ROBERT M. PHILLIPS JR M.D. P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT MELVIN PHILLIPS JR. M.D. (PRESIDENT)
(248) 334-9542
Entity
Organization

Contact information

Practice address
35 S JOHNSON ST, SUITE 1B, PONTIAC, MI 48341-1658
(248) 334-9542
(248) 334-6792
Mailing address
35 S JOHNSON ST, SUITE 1B, PONTIAC, MI 48341-1658
(248) 334-9542
(248) 334-6792

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0636895
BLUE CROSS BLUE SHIELD
MI
Enumeration date
03/07/2008
Last updated
03/07/2008
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