Individual
JONATHAN PHILIPPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2703 RUNNING HORSE RD, PLATTE CITY, MO 64079-7707
(816) 858-7050
(816) 858-7055
Mailing address
2703 RUNNING HORSE RD, PLATTE CITY, MO 64079-7707
(816) 858-7050
(816) 858-7055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2016023357
MO
207Q00000X
Family Medicine Physician
MD42863
IA
Other
Enumeration date
06/06/2013
Last updated
12/31/2019
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