Ronald Leland Phillips MD

NPI 1063498210 - Family Medicine - 207Q00000X

NPI Details
NPI 1063498210
Gender Male
Enumeration Date 12/20/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1 CROWN DR
SUITE 200
KIRKSVILLE MO, 63501-2510, US
Phone (660) 665-3838
Fax (660) 665-0130
Business Location
1 CROWN DR
SUITE 200 P O BOX R
KIRKSVILLE MO, 63501-2510, US
Phone (660) 665-3838
Fax (660) 665-0130
Toxanomy
Taxonomy Code 207Q00000X
License State Missouri
License Number R5B09
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According to our database, Dr. Ronald Leland Phillips MD NPI is 1063498210, taxonomy code is 207Q00000X and license number is R5B09, license state is located at Missouri. Ronald Leland Phillips MD physically located at 1 Crown Dr, Kirksville MO, 63501-2510. NPI Number Ronald Leland Phillips MD has the Individual type.

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1063498210 NPI number is provided on an as is basis without warranty of any kind. 1063498210 is maintained by the National Plan & Provider Enumeration System. The contents of Ronald Leland Phillips MD are for informational purposes only.