Individual
DR. JOHN H PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
485 STANTON BLVD, ONTARIO, OR 97914-8435
(208) 739-0087
(541) 889-4232
Mailing address
485 STANTON BLVD, ONTARIO, OR 97914-8435
(208) 739-0087
(541) 889-4232
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD11306
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003393200
—
ID
05
—
00543-9
—
OR
Enumeration date
07/27/2006
Last updated
03/15/2022
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