Individual
MR. BRADFORD G. PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
431 FRANKLIN ST, RUMFORD, ME 04276-2100
(207) 369-3200
Mailing address
580 CURTIS HILL RD, BRYANT POND, ME 04219-6538
(207) 674-3862
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 132
ME
Other
Enumeration date
07/21/2006
Last updated
07/09/2007
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