Individual
J JEFFREY PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDMS
Contact information
Practice address
1143 BRICK RD, LORETTO, PA 15940-8207
(814) 472-4287
Mailing address
1143 BRICK RD, LORETTO, PA 15940-8207
(814) 472-4287
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
9389
PA
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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