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1366441644
MARK R PHILLIPS
PEORIA, IL
NPI
1366441644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: IL 36067854)
Enumeration Date
2005-07-19
Last Update Date
2009-12-04
Business Address
Dr. MARK R PHILLIPS MD
303 N WILLIAM KUMPF BLVD
PEORIA, IL 61605-2507
Phone number: 309-676-5546
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Mailing Address
Dr. MARK R PHILLIPS MD
303 N WILLIAM KUMPF BLVD
PEORIA, IL 61605-2507
Phone number: 309-676-5546
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