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Individual
DYLAN PHILLIPS
Active
Individual
DYLAN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
309141
NY
208VP0000X
Pain Medicine Physician
Primary
309141
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
05/18/2016
Last updated
07/22/2021
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