MEDICARE: DR. ROLAND FRANCIS PHILLIPS JR. BA BS 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
1	111N00000X	Chiropractor	3770	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AZ00872B0	OTHER		BC BS AZ

General Provider Information

NPI Number	:	1447392097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROLAND FRANCIS PHILLIPS JR. BA BS DC

Provider Business Mailing Address
First Line	:	1989 WEST ELLIOT ROAD SUITE C 21
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85224
Country	:	US
Telephone Number	:	480-899-3683
Fax Number	:	480-899-8842

Provider Business Practice Location Address
First Line	:	1989 WEST ELLIOT ROAD SUITE C 21
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85224
Country	:	US
Telephone Number	:	480-899-3683
Fax Number	:	480-899-8842

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	07/08/2007

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