Individual
DR. JERALD JOE PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
504 N CLEVELAND ST, MOUNT AYR, IA 50854-2201
(641) 464-3226
(614) 464-4476
Mailing address
804 E ADAMS ST, MOUNT AYR, IA 50854-1509
(515) 230-1630
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02765
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2091249
—
IA
Enumeration date
03/09/2006
Last updated
02/14/2013
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