Individual
PHILIP BRIAN TIPPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
804 DAN ARK CIRCLE, DANVILLE, AR 72833-0220
(479) 495-7300
Mailing address
804 DAN ARK CIRCLE, DANVILLE, AR 72833-0220
(479) 495-7300
(479) 495-7981
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C7881
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117973001
—
AR
01
—
CS8405
RAILROAD MEDICARE
AR
Enumeration date
03/14/2006
Last updated
07/13/2016
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