Individual
JOHN D. PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
521 MARSHALL RD, JACKSONVILLE, AR 72076-3749
(501) 985-0616
(501) 985-0715
Mailing address
521 MARSHALL RD, JACKSONVILLE, AR 72076-3749
(501) 985-0616
(501) 985-0715
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
E0219
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131644001
—
AR
Enumeration date
02/23/2006
Last updated
06/07/2012
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