Individual
DR. WILLIAM REVELLE PHIPPS
Active
Individual
DR. WILLIAM REVELLE PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
04-38170
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01262853
—
NY
01
—
2075
BLUE SHIELD
NY
01
—
4418300
AETNA
NY
01
—
MD428P
PREFERRED CARE
NY
01
—
P010187220
BLUE CHOICE
NY
Enumeration date
06/27/2006
Last updated
10/13/2016
Update your record
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