Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 27887 | OR |
NPI | 1033319124 |
---|---|
Provider Name | Dr. Gregory M Phillips |
First Address | Eugene, OR 97401-7925 |
Second Address | Eugene, OR 97401-7925 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2007 |
Last Update Date | 04/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I39391 | (02) | OR |