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Individual

JEFFREY J PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
948A E. BROAD ST., COLUMBUS, OH 43205
(614) 251-0222
(614) 251-0258
Mailing address
4680 GLANSTONBURY DR, HILLIARD, OH 43026-8651
(614) 777-6152

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2005
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0944349
OH
Enumeration date
11/02/2006
Last updated
07/08/2007
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