Individual
DR. JONATHAN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4015 GATEWAY BLVD, NEWBURGH, IN 47630-8925
(812) 858-9400
(812) 858-9571
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 858-9400
(812) 858-9571
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02006774A
IN
208M00000X
Hospitalist Physician
02006774A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2018
Last updated
07/20/2022
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