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NPI Code Detail

MEDICARE: DR. RAY ANTHONY PHILLIPS DC

MEDICARE:  DR. RAY ANTHONY 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
1111N00000XChiropractor704IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000335479OTHERBCBS / ANTHEM

General Provider Information

NPI Number : 1881694982
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAY ANTHONY PHILLIPS DC
Provider Business Mailing Address
First Line : 330 N CHAUNCEY ST
Second Line :
City : COLUMBIA CITY
State : IN
Zip : 46725-1735
Country : US
Telephone Number : 260-244-6012
Fax Number : 260-244-6012
Provider Business Practice Location Address
First Line : 330 N CHAUNCEY ST
Second Line :
City : COLUMBIA CITY
State : IN
Zip : 46725-1735
Country : US
Telephone Number : 260-244-6012
Fax Number : 260-244-6012
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 03/26/2010

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Directions to “ DR. RAY ANTHONY PHILLIPS DC” Practice Location

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