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Individual

CARSON PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2822 JACKSON BLVD STE 101, RAPID CITY, SD 57702-3497
(605) 341-1208
(605) 341-3552
Mailing address
2822 JACKSON BLVD STE 101, RAPID CITY, SD 57702-3497
(605) 341-1208
(605) 341-3552

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10533
SD

Other

Enumeration date
06/23/2014
Last updated
11/02/2017
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