Organization
PHILLIPS CHIROPRACTIC, P.A.
Active
Parent organization
PHILLIPS CHIROPRACTIC, P.A.
Other names
Phillips Durable Medical Equipment
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHILLIPS CHIROPRACTIC, P.A.
Authorized official
DARRELL GENE ROTHS (DIRECTOR)
(620) 225-4139
Entity
Organization
Contact information
Practice address
311 E SPRUCE ST, GARDEN CITY, KS 67846-5614
(620) 260-2199
(620) 260-2715
Mailing address
PO BOX 1208, DODGE CITY, KS 67801-1208
(620) 225-4139
(620) 225-4286
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
16-104621
KS
332B00000X
Durable Medical Equipment & Medical Supplies
16-105450
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200631040A
—
KS
05
—
201173360A
—
KS
Enumeration date
06/29/2017
Last updated
12/26/2019
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