Individual
MR. PHILIP JAY WINSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 FORT ROOTS DR, N LITTLE ROCK, AR 72114-1709
(501) 257-1548
Mailing address
1277 GRANT 43, SHERIDAN, AR 72150-8541
(870) 917-9120
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R54155
AR
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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