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Individual

PHILLIP R. ZEECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 N WASHINGTON AVE, SUITE 400, ODESSA, TX 79761-4401
(432) 337-6617
(432) 337-4905
Mailing address
P O BOX 593, ODESSA, TX 79761-4441
(432) 337-6617
(432) 337-4905

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
D1123
TX
207X00000X
Orthopaedic Surgery Physician
Primary
D1123
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00466661
RAILROAD MEDICARE
TX
Enumeration date
03/24/2006
Last updated
04/12/2013
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