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Individual

CRAIG S PHILLIPS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
120 HOLLYWOOD DR, SUITE 202, BUTLER, PA 16001-7604
(724) 287-2837
(724) 287-0496
Mailing address
120 HOLLYWOOD DR, SUITE 202, BUTLER, PA 16001-7604
(724) 287-2837
(724) 287-0496

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC004388L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
680517
HIGHMARK IND PROV NUMBER
PA
01
8480167-002
CIGNA
PA
01
P00149504
RAILROAD MEDICARE
Enumeration date
02/23/2006
Last updated
07/08/2007
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