Individual
MARCUS PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1315 CENTER DR, MEDFORD, OR 97501-7984
(541) 773-4073
Mailing address
1315 CENTER DR, MEDFORD, OR 97501-7984
(541) 773-4073
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11798
OR
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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