Individual
TODD WYCALL PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 S DOBSON RD STE 202, MESA, AZ 85202-4724
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
(866) 974-2673
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
694737
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
77425
AZ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
ME167757
FL
390200000X
Student in an Organized Health Care Education/Training Program
694737
TX
Other
Enumeration date
04/03/2019
Last updated
08/13/2025
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