Individual
DR. ROGER LEE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6 MANOR DRIVE, DANVILLE, IN 46122
(317) 745-5100
(317) 745-1267
Mailing address
10701 CARDINAL CIRCLE, INDIANAPOLIS, IN 46231
(317) 839-1577
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000555A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000385631
ANTHEM ID
IN
Enumeration date
10/02/2006
Last updated
07/08/2007
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