Organization
PHILLIPS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY PHILLIPS DO (PHYSICIAN)
(501) 397-2604
Entity
Organization
Contact information
Practice address
1011 SHERIDAN ROAD, REDFIELD, AR 72132
(501) 397-2604
(501) 397-2645
Mailing address
PO BOX 20146, WHITE HALL, AR 71612-0146
(501) 397-2604
(501) 397-2645
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/26/2017
Last updated
02/28/2018
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