Individual
GRANT C PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7219 N LITCHFIELD RD, LUKE AFB, AZ 85309-1529
(623) 856-3279
(623) 856-2210
Mailing address
37 W LYNWOOD ST, PHOENIX, AZ 85003-1204
(602) 462-5036
(623) 856-2210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AZ28994
AZ
Other
Enumeration date
12/14/2005
Last updated
04/28/2009
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