TIMOTHY MARTIN PHILLIPS

SAINT LOUIS, MO
NPI1992724595
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2088P0231X 
(Licence: MO  2018010765)
Additional Taxonomies2088P0231X 
(Licence: TX  N6582)
Enumeration Date2006-07-18
Last Update Date2021-01-15
Business Address
Dr. TIMOTHY MARTIN PHILLIPS MD
1465 S GRAND BLVD
SAINT LOUIS, MO 63104-1003
Phone number: 210-857-4174
Mailing Address
Dr. TIMOTHY MARTIN PHILLIPS MD
1465 S GRAND BLVD
SAINT LOUIS, MO 63104-1003
Phone number: 210-857-4174
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