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Individual

STANLEY J PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1184 E 80 N, AMERICAN FORK, UT 84003-2906
(801) 763-3885
(801) 763-3887
Mailing address
157 N 400 W # B7, OREM, UT 84057-1909
(801) 763-3885
(801) 763-3887

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
27973660501
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005819102
MEDICARE PIN FOR FOOT & ANKLE CLINIC
UT
05
203620216001
UT
Enumeration date
08/13/2006
Last updated
02/09/2021
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