Individual
MRS. AMY ROSE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7483 EAST 750 SOUTH, SOUTH WHITLEY, IN 46787
(260) 839-3300
Mailing address
7483 EAST 750 SOUTH, SOUTH WHITLEY, IN 46787
(260) 839-3300
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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