Organization
TERRELL R PHILLIPS DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY TIMMONS (OPERATIONS MANAGER)
(405) 775-9350
Entity
Organization
Contact information
Practice address
401 SW 80TH ST, BLDG D STE 200, OKLAHOMA CITY, OK 73139-8122
(405) 775-9350
(405) 775-9360
Mailing address
PO BOX 357, LOWELL, AR 72745-0357
(405) 775-9350
(405) 775-9360
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2427
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100851270A
—
OK
01
—
352456400
DOL
OK
Enumeration date
07/13/2006
Last updated
06/01/2020
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