Individual
MRS. ANNA LISA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 858-2794
Mailing address
1316 SALEM AVE, EDMOND, OK 73003-6117
(405) 201-4171
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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