Individual
DR. PHILLIP BRYCE STORM
Active
Individual
DR. PHILLIP BRYCE STORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
18997
IA
208800000X
Urology Physician
Primary
8639
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0732354
—
IA
05
—
1618083
—
AK
01
—
175947
HEALTHLINK
—
05
—
209901404
—
MO
01
—
252359
MIDLANDS CHOICE
—
01
—
28011
BLUE CROSS BLUE SHIELD
IA
01
—
421435525
TRICARE
—
Enumeration date
11/02/2006
Last updated
05/11/2015
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