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Owen Phillips MD NPI 1023075611

Classification
Medical Genetics
Type
Clinical Genetics (M.D.)
Specialization
Clinical Genetics (M.D.)
License No.
20192
License State
TN
Certified
Location

Additional Identifiers

Medical School
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year
1980
Identifier
Type
State
Identifier: B65023
Type: MEDICARE UPIN (02)
State:
Identifier: 3050806
Type: MEDICAID (05)
State: TN
Identifier: 3080800
Type: MEDICARE ID-TYPE UNSPECIFIED (04)
State:

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
6215 HUMPHREYS BLVD , MEMPHIS, TN, 38120
Business Phone
901-866-8085
Mailing Address
877 JEFFERSON AVE, MEMPHIS, TN, 381032807
Mailing Phone
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