Mark A Phillips, PRSS

NPI #1780048488 in Miami, Oklahoma

Provider Information

NPI Number: 1780048488
Entity Type: Individual
Name: Mark A Phillips, PRSS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: PRSS
Enumeration Date: Apr 8, 2016
Last Updated: May 16, 2016

Practice Location

Address: 111 S TREATY RD
City: Miami
State: Oklahoma
ZIP Code: 74354-5327
Phone: (918) 540-1511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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