Organization
PHILLIPS SURGICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY J PHILLIPS MD (OWNER)
(719) 576-4171
Entity
Organization
Contact information
Practice address
499 E HAMPDEN AVE, SUITE 380, ENGLEWOOD, CO 80113-2780
(303) 788-5300
Mailing address
PO BOX 909, COLORADO SPRINGS, CO 80901-0909
(719) 576-4171
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
48890
CO
2086S0102X
Surgical Critical Care Physician
48890
CO
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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