Individual
MADISON JAMES PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
412 E OKLAHOMA ST, WALTERS, OK 73572-1622
(580) 559-6133
Mailing address
412 E OKLAHOMA ST, WALTERS, OK 73572-1622
(580) 559-6133
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/30/2023
Last updated
08/31/2023
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