Individual
MR. PHILLIP THOMAS JANSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS
Contact information
Practice address
2817 REILLY ROAD MCXC COD CREDENTIALS, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Mailing address
2817 REILLY ROAD MCXC COD CREDENTIALS, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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