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Individual

JOSEPH JASON PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1118 ROSS CLARK CIR, 500, DOTHAN, AL 36301-3001
(334) 794-4159
(334) 792-7019
Mailing address
1118 ROSS CLARK CIR, 500, DOTHAN, AL 36301-3001
(334) 794-4159
(334) 792-7019

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
28072
AL

Other

Enumeration date
04/10/2007
Last updated
07/08/2007
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