Individual
ANDREW PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
STUDENT
Contact information
Practice address
189 CITATION DR SW, PATASKALA, OH 43062-8508
(740) 491-0423
Mailing address
113 WALNUT ST., SCIO, OH 43988
(740) 491-0423
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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