Individual
ANDREW LUKE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
391 S CHIPETA WAY STE C, SLC, UT 84108-1294
(801) 865-5577
Mailing address
391 S CHIPETA WAY STE C, SLC, UT 84108-1294
(801) 865-5577
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
8790830-1205
UT
Other
Enumeration date
04/02/2012
Last updated
11/11/2021
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