Individual
MR. MICHAEL G. PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUB IDC
Contact information
Practice address
2621 LAS BRISAS ST, CORPUS CHRISTI, TX 78414-5014
(559) 362-4304
Mailing address
2621 LAS BRISAS ST, CORPUS CHRISTI, TX 78414-5014
(559) 362-4304
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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