Individual
DR. PHILLIP MARSHAL GUISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
696 W MOUNT VERNON ST, NIXA, MO 65714
(417) 693-5091
Mailing address
696 W MOUNT VERNON ST, NIXA, MO 65714-9604
(417) 693-5091
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
13770
TX
111N00000X
Chiropractor
Primary
2018003110
MO
Other
Enumeration date
04/02/2018
Last updated
05/18/2019
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