Individual
JON T PHILLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 MAIN STREET, AKIACHAK, AK 99551
(907) 765-7125
(907) 765-4173
Mailing address
101 MAIN STREET, AKIACHAK, AK 99551
(907) 765-7125
(907) 765-4173
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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