MR. Mark Tyler Phillips

NPI #1548000169 in Miami, Oklahoma

Provider Information

NPI Number: 1548000169
Entity Type: Individual
Name: MR. Mark Tyler Phillips
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: May 30, 2024
Last Updated: May 30, 2024

Practice Location

Address: 319 A ST SW
City: Miami
State: Oklahoma
ZIP Code: 74354-7605
Phone: (918) 544-6424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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