NPI | 1598760258 |
---|---|
Professional Name | FRED B PHILLIPS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 1907) |
Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: OK 1907) |
133NN1002X Nutritionist, Nutrition, Education (Licence: OK 1907) | |
111NR0400X (Licence: OK 1907) | |
Enumeration Date | 2005-06-17 |
Last Update Date | 2012-04-26 |