Individual
MR. ROB MCGREGOR PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
7 S MICKEY MANTLE DR, SUITE 325, OKLAHOMA CITY, OK 73104-2458
(405) 232-0101
(405) 232-0102
Mailing address
7 S MICKEY MANTLE DR, SUITE 325, OKLAHOMA CITY, OK 73104-2458
(405) 232-0101
(405) 232-0102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA924
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200002570A
—
OK
Enumeration date
08/05/2007
Last updated
02/09/2010
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