# MARYANNE D. PHILLIPS MD APC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245533207
- **Authorized official:** MARYANNE D PHILLIPS M.D. (PRESIDENT)
- **Authorized official phone:** (702) 860-8965

## Contact information

- **Practice address:** 7835 S RAINBOW BL, STE 15, LAS VEGAS, NV 89139
- **Practice address phone:** (702) 860-8965
- **Mailing address:** 10600 SOUTHERN HIGHLANDS PKWY, LAS VEGAS, NV 89141-4368
- **Mailing address phone:** (702) 860-8965

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | A63753 | CA | Yes |

## Other

- **Enumeration date:** 12/14/2010
- **Last updated:** 12/14/2010