Individual
SUZANNE L. PHILLIPS
Active
Individual
SUZANNE L. PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
SC005525
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1389267
HIGH MARK BLUE SHIELD
PA
01
—
30080127
KEYSTONE MERCY , INDIVIDUAL PROVIDER NUMBER
PA
01
—
U89990
HEALTH PARTNERS
PA
Enumeration date
06/30/2006
Last updated
01/05/2011
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