Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 11603 | MT |
N | 207QS0010X | Family Doctor - Sports Medicine | 11603 | MT |
N | 208D00000X | General Practice Physician | 11603 | MT |
NPI | 1255504254 |
---|---|
Provider Name | Dr. Benjamin K Phipps |
First Address | Billings, MT 59101-7507 |
Second Address | Billings, MT 59101-7507 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2008 |
Last Update Date | 05/02/2010 |