| 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 Chiropractor, Rehabilitation (Licence: OK 1907) | |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2012-04-26 |