DOUGLAS BRENT PHILLIPS

LITTLE ROCK, AR
NPI1225436207
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: AR  608)
Enumeration Date2014-12-08
Last Update Date2014-12-08
Business Address
DOUGLAS BRENT PHILLIPS ATC
10301 KANIS RD
LITTLE ROCK, AR 72205-6205
Phone number: 501-604-6913
Mailing Address
DOUGLAS BRENT PHILLIPS ATC
35 SPRINGRIDGE DR
LITTLE ROCK, AR 72211-5431
Phone number: 205-657-6984