Jonathan Philippe, MD
Family Medicine in Platte City, MO. Individual provider (NPI-1).
NPI number1477991925
StatusActive
Last updated in NPPESDec 31, 2019
Details
- NPI
- 1477991925
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Philippe
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 6, 2013
- Certification date
- Dec 31, 2019
- Last updated
- Dec 31, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 2016023357 | MO | Yes |
| 207Q00000X | Family Medicine | MD42863 | IA |
Practice location
2703 Running Horse RdPlatte City, MO 64079-7707
Phone 816-858-7050 · Fax 816-858-7055
Mailing address
2703 Running Horse RdPlatte City, MO 64079-7707
Phone 816-858-7050 · Fax 816-858-7055
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