# DR. PHILIP ROY HALVORSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1568474377
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | MD00025724 | WA | Yes |

## Other

- **Enumeration date:** 08/12/2006
- **Last updated:** 11/03/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1013452 | — | WA |
| 05 | — | 1120732 | — | WA |
| 01 | — | 1568474377 | NPI | WA |