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Organization

MEDTHERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRADLEY B PHILLIPS (OWNER)
(952) 835-6488
Entity
Organization

Contact information

Practice address
5001 AMERICAN BLVD W, SUITE 601, BLOOMINGTON, MN 55437-1108
(952) 835-6488
(952) 835-6448
Mailing address
5001 AMERICAN BLVD W, SUITE 601, BLOOMINGTON, MN 55437-1108
(952) 835-6488
(952) 835-6448

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
31205Q
MN

Other

Enumeration date
05/05/2014
Last updated
12/03/2014
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