Organization
MICHAEL PHILLIPS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R PHILLIPS MD (SOLE OWNER)
(417) 553-7745
Entity
Organization
Contact information
Practice address
1 MT CARMEL WAY, PITTSBURG, KS 66762-7587
(417) 553-7745
(417) 553-7747
Mailing address
PO BOX 2010, JOPLIN, MO 64803-2010
(417) 553-7745
(417) 553-7747
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
04-35567
KS
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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