Individual
SEAN CALEB PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(405) 755-1515
Mailing address
6813 SAINT MARYS PL, OKLAHOMA CITY, OK 73132-6820
(405) 210-4955
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5360
OK
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/10/2024
Last updated
07/08/2024
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