Individual
AUTUMN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43 ELM ST, CHICOPEE, MA 01013-3057
(413) 523-6242
Mailing address
43 ELM ST, CHICOPEE, MA 01013-3057
(413) 523-6242
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6907
CT
363A00000X
Physician Assistant
9119161
FL
Other
Enumeration date
07/24/2024
Last updated
01/20/2025
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