MEDICARE: DR. CHRISTINE MARGARET PHILLIPS D.C.

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	340384-1202	UT

General Provider Information

NPI Number	:	1609993492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE MARGARET PHILLIPS D.C.

Provider Business Mailing Address
First Line	:	PO BOX 1742
Second Line	:
City	:	PARK CITY
State	:	UT
Zip	:	84060-1742
Country	:	US
Telephone Number	:	435-655-2708
Fax Number	:	435-655-2709

Provider Business Practice Location Address
First Line	:	1960 SIDEWINDER DR
Second Line	:	SUITE 206
City	:	PARK CITY
State	:	UT
Zip	:	84060-7329
Country	:	US
Telephone Number	:	435-655-2708
Fax Number	:	435-655-2709

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

Provider Enumeration Date	:	03/25/2007
Last Update Date	:	07/08/2007

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