Phillips, Bryan L

Phillips, Bryan L is an individual health care provider with primary practice located at 1600 Nw South Outer Rd , Blue Springs MO 64015-2963. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Phillips, Bryan L can be contacted via phone (816) 524-3223.

Contact Information

Primary practice address
1600 Nw South Outer Rd Blue Springs MO 64015-2963
Phone: (816) 524-3223
Fax: (816) 525-2697
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 115527 Missouri

Profile Details

NPI number 1629076278
LBN Legal business name Phillips, Bryan L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jun 6th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629076278 NPPES
Missouri MEDICAID 203882907

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