Organization
JANE PHILLIPS SPECIALTY PHYSICIANS
Active
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
Update your record
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