Individual
DR. JOHN GRAY PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
224 MALIBU CV, BAREFOOT BEACH, FL 34134-8536
(239) 948-2751
Mailing address
224 MALIBU CV, BAREFOOT BEACH, FL 34134-8536
(239) 948-2751
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD014325E
PA
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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