Phillips, Victor M.

Phillips, Victor M. is an individual health care provider with primary practice located at 3308 W. Edgewood Dr. Suite D, Jefferson City MO 65109-6891. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Phillips, Victor M. can be contacted via phone (573) 632-0010.

Contact Information

Primary practice address
3308 W. Edgewood Dr. Suite D Jefferson City MO 65109-6891
Phone: (573) 632-0010
Fax: (573) 632-2449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 20030144707 Missouri
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 20030144707 Missouri

Profile Details

NPI number 1831131762
LBN Legal business name Phillips, Victor M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Feb 9th, 2012 - about 14 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 1831131762 NPPES
Missouri MEDICAID 207627308
Missouri Other 542244
Missouri Other CD6061
Missouri Other 205098
Missouri Other P00307873

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