Individual
DR. RUSSELL E PHILLIPS
Active
Individual
DR. RUSSELL E PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD015455E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0056423000
INDEPENDENCE BLUE CROSS
PA
01
—
125370300
DEPT OF LABOR, OWCP
—
01
—
PH126779
HIGHMARK BLUE SHIELD
PA
Enumeration date
12/02/2006
Last updated
11/16/2022
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