Individual
DR. RUSSELL E PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
239 VALLEY RIDGE RD, HAVERFORD, PA 19041-2028
(610) 896-5710
(610) 896-1667
Mailing address
239 VALLEY RIDGE RD, HAVERFORD, PA 19041-2028
(610) 896-5710
(610) 896-1667
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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