Individual
DR. CHANDLER PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10425 W UNION RD, MEDWAY, OH 45341-9747
(937) 849-9277
(937) 849-9278
Mailing address
10425 W UNION RD, MEDWAY, OH 45341-9747
(937) 849-9277
(937) 849-9278
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01024626A
IN
207Q00000X
Family Medicine Physician
Primary
35.035867
OH
207Q00000X
Family Medicine Physician
G18906
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8502258
—
OH
Enumeration date
06/28/2011
Last updated
06/28/2011
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