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Individual

MICHAEL PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
501 W 2600 S, #200, BOUNTIFUL, UT 84010-7784
(801) 815-3443
(801) 683-8962
Mailing address
387 E 450 S, CLEARFIELD, UT 84015-1734
(801) 773-9149
(801) 773-9152

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
10/02/2013
Last updated
10/02/2013
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