Individual
DR. CURTIS ALAN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
428 S WILSON ST, VINITA, OK 74301-4246
(918) 256-5021
(918) 256-7036
Mailing address
PO BOX 439, VINITA, OK 74301-0439
(918) 256-5021
(918) 256-7036
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3379
OK
208600000X
Surgery Physician
Primary
3379
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100228370A
—
OK
Enumeration date
06/30/2005
Last updated
01/05/2011
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