Individual
MR. CHRISTOPHER E PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 479-5820
(419) 479-5821
Mailing address
4235 SECOR RD, TOLEDO, OH 43623
(419) 479-5820
(440) 988-1225
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50002339
OH
363AM0700X
Medical Physician Assistant
2339
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0236248
—
OH
Enumeration date
08/11/2006
Last updated
04/25/2011
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