Individual
PHILLIP JOHN STEPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 KELL BLVD, WICHITA FALLS, TX 76309-4401
(940) 264-2600
(940) 264-2601
Mailing address
PO BOX 1011, WICHITA FALLS, TX 76307-1011
(214) 522-0210
(214) 522-0474
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
L2679
TX
208600000X
Surgery Physician
L2679
TX
Other
Enumeration date
02/27/2006
Last updated
03/06/2014
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