Individual
DR. OWEN P. PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6215 HUMPHREYS BLVD STE 201, MEMPHIS, TN 38120-2382
(901) 866-8085
(901) 515-3429
Mailing address
877 JEFFERSON AVE, ATTN: PROVIDER ENROLLMENT, MEMPHIS, TN 38103-2807
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
20192
TN
207VM0101X
Maternal & Fetal Medicine Physician
20192
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3050806
—
TN
Enumeration date
04/27/2006
Last updated
07/28/2017
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