Curtis Phillips Do Pc | |
428 S Wilson St Vinita OK 74301-4246 | |
(918) 256-5021 | |
Not Available |
Full Name | Curtis Phillips Do Pc |
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Speciality | Surgery |
Location | 428 S Wilson St, Vinita, Oklahoma |
Authorized Official Name and Position | Curtis Phillips (OWNER) |
Authorized Official Contact | 9182565021 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Curtis Phillips Do Pc Po Box 439 Vinita OK 74301-0439 Ph: () - | Curtis Phillips Do Pc 428 S Wilson St Vinita OK 74301-4246 Ph: (918) 256-5021 |
NPI Number | 1518276252 |
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Provider Enumeration Date | 09/29/2010 |
Last Update Date | 09/29/2010 |
Medicare PECOS PAC ID | 4880883040 |
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Medicare Enrollment ID | O20110104001157 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518276252 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 3379 (Ohio) | Secondary |
208600000X | Surgery | 3379 (Oklahoma) | Primary |
Provider Name | Curtis A Phillips |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134126576 PECOS PAC ID: 0143419317 Enrollment ID: I20110104001184 |
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