Individual
DR. BRUCE A PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2200 NORTH STATE STREET, NORTH VERNON, IN 47265-0892
(812) 346-4181
(812) 346-7217
Mailing address
PO BOX 892, 2200 NORTH STATE STREET, NORTH VERNON, IN 47265-0892
(812) 346-4181
(812) 346-7217
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IN-08001378A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100195200A
—
IN
Enumeration date
10/13/2006
Last updated
01/27/2016
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