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Organization

JANE PHILLIPS SPECIALTY PHYSICIANS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT PHILLIPS (PRESIDENT)
(918) 331-1090
Entity
Organization

Contact information

Practice address
226 SE DEBELL AVE, BLDG A, BARTLESVILLE, OK 74006-2343
(918) 331-1090
(918) 331-1091
Mailing address
226 SE DEBELL AVE, BLDG A, BARTLESVILLE, OK 74006-2343
(918) 331-1090
(918) 331-1091

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200106480A
OK
01
500522204
MEDICARE PTAN
OK
Enumeration date
02/01/2008
Last updated
07/19/2011
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