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Individual

DR. GLENN STEPHEN MCPHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
6 OFFICE PARK CIR, SELMA, AL 36701-6506
(334) 872-5636
(334) 872-5199
Mailing address
6 OFFICE PARK CIR, SELMA, AL 36701-6506
(334) 872-5636
(334) 872-5199

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
248
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MC051552783
AL
Enumeration date
06/15/2005
Last updated
10/26/2011
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