Phillips, Theodore L.

Phillips, Theodore L. is an individual health care provider with primary practice located at 2701 E Elvira Rd , Tucson AZ 85756-7124. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Phillips, Theodore L. can be contacted via phone (520) 874-4024.

Contact Information

Primary practice address
2701 E Elvira Rd Tucson AZ 85756-7124
Phone: (520) 874-4024
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X A19551 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A19551 California

Profile Details

NPI number 1710929963
LBN Legal business name Phillips, Theodore L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Feb 7th, 2012 - about 12 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 1710929963 NPPES
California MEDICAID 00A195510

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