Healthcare Provider Details

I. General information

NPI: 1497754204
Provider Name (Legal Business Name): FRANK L. MCPHILLIPS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 12/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 SPRINGHILL AVE
MOBILE AL
36607-2301
US

IV. Provider business mailing address

1855 SPRINGHILL AVE
MOBILE AL
36607-2301
US

V. Phone/Fax

Practice location:
  • Phone: 251-471-3544
  • Fax: 251-476-7254
Mailing address:
  • Phone: 251-471-3544
  • Fax: 251-476-7254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number00005367
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: