Individual
STEPHEN WILEY PHILLIPS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1117 E MAIN ST, SUITE #5, MEDFORD, OR 97504-7404
(541) 772-2414
(541) 772-2523
Mailing address
1117 E MAIN ST, SUITE #5, MEDFORD, OR 97504-7404
(541) 772-2414
(541) 772-2523
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6297
OR
Other
Enumeration date
07/27/2005
Last updated
07/08/2007
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