Individual
STEPHEN A PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1809 S MAIN ST, UPLAND, IN 46989-9242
(765) 998-6200
(765) 998-6204
Mailing address
221 N CELIA AVE, ATTN: DEBERA BARKER RCS, MUNCIE, IN 47303-4609
(765) 282-8905
(317) 968-1047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01028159
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100173540
—
IN
01
—
P01071459
RAILROAD MEDICARE
—
Enumeration date
06/06/2006
Last updated
12/24/2012
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