Individual
CHANCE LEROY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
4564 S HARVARD AVE STE B, TULSA, OK 74135-2918
(918) 508-2220
Mailing address
2706 E 39TH PL, TULSA, OK 74105-8209
(806) 886-0062
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
115935
OK
Other
Enumeration date
01/26/2018
Last updated
05/18/2021
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