Individual
HARRY PURSELL PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
120 WILLIAM PENN PLZ, DURHAM, NC 27704-2150
(919) 220-5255
(919) 220-6971
Mailing address
120 WILLIAM PENN PLZ, DURHAM, NC 27704-2150
(919) 220-5255
(919) 220-6971
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO00968
NC
224P00000X
Prosthetist
Primary
CPO00968
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9190716
—
VA
Enumeration date
09/16/2006
Last updated
09/11/2007
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