Individual
DR. BRYCE A PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1330 COMMERCIAL ST, WARSAW, MO 65355-3431
(660) 438-7331
Mailing address
PO BOX 1599, WARSAW, MO 65355-1599
(660) 438-7331
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2012025429
MO
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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