Individual
JEREMIAH PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18100 E 17TH TER N, INDEPENDENCE, MO 64058-1050
(916) 799-7550
Mailing address
18100 E 17TH TER N, INDEPENDENCE, MO 64058-1050
(816) 799-7550
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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