Individual
DR. RONALD LELAND PHILLIPS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CROWN DR, SUITE 200, KIRKSVILLE, MO 63501-2510
(660) 665-3838
(660) 665-0130
Mailing address
1 CROWN DR, SUITE 200 P O BOX R, KIRKSVILLE, MO 63501-2510
(660) 665-3838
(660) 665-0130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R5B09
MO
Other
Enumeration date
12/20/2005
Last updated
07/08/2007
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