Individual
BRYAN L PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 NW SOUTH OUTER RD, BLUE SPRINGS, MO 64015-2963
(816) 524-3223
(816) 525-2697
Mailing address
1425 NW BLUE PKWY, LEES SUMMIT, MO 64086-5705
(816) 524-3223
(816) 525-2697
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
115527
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203882907
—
MO
Enumeration date
07/08/2005
Last updated
06/06/2011
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