Individual
DR. DANIEL PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14825 N OUTER 40, SUITE 330, CHESTERFIELD, MO 63017-2152
(636) 537-0525
(636) 537-0575
Mailing address
PO BOX 958874, SAINT LOUIS, MO 63195-8874
(636) 537-0525
(636) 537-0575
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
R9B29
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
364993
UNITED HEALTHCARE
MO
Enumeration date
12/05/2006
Last updated
05/30/2008
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