Individual
CHAD PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-3528
(918) 744-3529
Mailing address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-3528
(918) 744-3529
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
23901
OK
207QA0505X
Adult Medicine Physician
Primary
23901
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200032130A
—
OK
Enumeration date
07/03/2006
Last updated
05/29/2024
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