TRACY PHILLIPS, D.O.

Family Medicine

Active Individual
NPI: 1679571863

Practice Address

2001 CLUB MANOR DR STE S
Maumelle, AR 72113

Phone: (501) 734-8085

Specialties

Specialty Code Primary License
Clinic/Center - Primary Care 261QP2300X No E1018 (AR)
Hospitalist 208M00000X No E-1018 (AR)
Family Medicine 207Q00000X Yes E1018 (AR)

Frequently Asked Questions

NPI 1679571863 is the National Provider Identifier for TRACY PHILLIPS, D.O., a Family Medicine provider located in Maumelle, AR. This NPI was enumerated on July 12, 2005.
TRACY PHILLIPS, D.O. practices at 2001 CLUB MANOR DR STE S, Maumelle, AR 72113.

Quick Facts

NPI
1679571863
Type
Individual
Enumerated
Jul 12, 2005
Last Updated
May 29, 2024

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