| NPI | 1427736024 |
|---|---|
| Doing Business As | PHILLIPS MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE GOLDSMITH PHILLIPS Owner 479-242-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2023-11-29 |