Individual
DR. JUSTIN RAY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
602 N. BROADWAY, TEUCUMSEH, OK 74873
(405) 598-6768
(405) 598-6770
Mailing address
602 N. BROADWAY, PO BOX 589, TEUCUMSEH, OK 74873
(405) 598-6768
(405) 598-6770
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3465
OK
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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