Individual
VICTOR M. PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8000
(573) 302-2268
Mailing address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8000
(573) 302-2268
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
20030144707
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
20030144707
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205098
BCBS
MO
05
—
207627308
—
MO
01
—
542244
HEALTHLINK
MO
01
—
CD6061
RAILROAD GROUP
MO
01
—
P00307873
MEDICARE RAILROAD
MO
Enumeration date
06/12/2006
Last updated
10/07/2025
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