Individual
DR. TONYA L PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3808 GARY ST, SUITE B, FORT SMITH, AR 72903-5450
(479) 709-7050
(479) 709-7051
Mailing address
PO BOX 11449, BELFAST, ME 04915-4005
(479) 709-1924
(479) 709-7499
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
C-7487
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121637001
—
AR
01
—
130008161
RR MEDICARE
—
Enumeration date
07/24/2006
Last updated
03/28/2017
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