Individual
DR. DEXTER L PHILLIPS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6696 US HIGHWAY 20A, DELTA, OH 43515
(419) 822-3242
(419) 822-9008
Mailing address
6696 US HIGHWAY 20A, DELTA, OH 43515
(419) 335-3242
(419) 822-9008
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34-00-2700-P
OH
207Q00000X
Family Medicine Physician
34-00-2700-P
OH
207Q00000X
Family Medicine Physician
Primary
34-002700
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0378201
—
OH
01
—
P00385719
RAILROAD MEDICARE
OH
Enumeration date
06/15/2006
Last updated
01/08/2016
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