Individual
FREDERICK B PHILLIPS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4010 NW CACHE RD, LAWTON, OK 73505-3634
(580) 357-8688
(580) 357-7483
Mailing address
4010 NW CACHE RD, LAWTON, OK 73505-3634
(580) 357-8688
(580) 357-7483
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1907
OK
111NN0400X
Neurology Chiropractor
1907
OK
111NR0400X
Rehabilitation Chiropractor
1907
OK
133NN1002X
Nutrition Education Nutritionist
1907
OK
Other
Enumeration date
06/17/2005
Last updated
04/26/2012
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