Individual
DR. TOMEKO LYDRITRIUS MCPHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
6 OFFICE PARK CIR, SELMA, AL 36701-6506
(334) 872-5636
(334) 872-5199
Mailing address
6 OFFICE PARK CIR, SELMA, AL 36701-6506
(334) 872-5636
(334) 872-5199
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
256
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MC051552784
—
AL
Enumeration date
06/15/2005
Last updated
01/11/2011
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