Individual
DR. KEITH A PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1116 MILLIS AVE, BOONVILLE, IN 47601-2226
(812) 897-7130
Mailing address
1116 MILLIS AVE, BOONVILLE, IN 47601-2226
(812) 897-7130
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01031573A
IN
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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