Christopher Phillips, IDC
Military Health Care Provider, Independent Duty Corpsman in Groton, CT. Individual provider (NPI-1).
NPI number1376948554
StatusActive
Last updated in NPPESFeb 19, 2026
Details
- NPI
- 1376948554
- Entity type
- Individual (NPI-1)
- Name
- Christopher Phillips
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 29, 2014
- Certification date
- Feb 19, 2026
- Last updated
- Feb 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1002X | Military Health Care Provider, Independent Duty Corpsman | – | – | Yes |
Practice location
121 Orion AveGroton, CT 06340-2841
Phone 401-749-8802
Mailing address
121 Orion AveGroton, CT 06340-2841
Phone 401-749-8802
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