Individual
DR. BRADLEY G. PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4951 W 18TH ST, LAWRENCE, KS 66047
(785) 841-6540
(785) 865-4214
Mailing address
4951 W. 18TH ST, LAWRENCE, KS 66047
(785) 832-2865
(785) 841-3129
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
420176
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100201720C
—
KS
Enumeration date
04/10/2006
Last updated
03/05/2010
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