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NPI Code Detail

MEDICARE: DR. STEPHEN MICHAEL PHILLIPS DC

MEDICARE:  DR. STEPHEN MICHAEL PHILLIPS  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorS04048MD

General Provider Information

NPI Number : 1720619760
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN MICHAEL PHILLIPS DC
Provider Business Mailing Address
First Line : 6810 PARK HEIGHTS AVE STE C4
Second Line :
City : BALTIMORE
State : MD
Zip : 21215-1662
Country : US
Telephone Number : 443-842-5500
Fax Number : 443-948-5694
Provider Business Practice Location Address
First Line : 6810 PARK HEIGHTS AVE STE C4
Second Line :
City : BALTIMORE
State : MD
Zip : 21215-1662
Country : US
Telephone Number : 443-842-5500
Fax Number : 443-948-5694
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2020
Last Update Date : 02/09/2022

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Directions to “ DR. STEPHEN MICHAEL PHILLIPS DC” Practice Location

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