Individual
DR. PHILLIP L MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2750 S CAMPBELL AVE, SPRINGFIELD, MO 65807-3506
(417) 269-2281
(417) 883-5466
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-2281
(417) 883-5466
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R2A46
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10230
BLUE CROSS
—
05
—
201157617
—
MO
Enumeration date
09/28/2006
Last updated
08/05/2015
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