Individual
MR. ALFRED MATTHEW PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
925 IRONWOOD DR, MINDEN, NV 89423-5178
(775) 445-7800
(775) 782-2967
Mailing address
925 IRONWOOD DR, MINDEN, NV 89423-5178
(775) 445-7800
(775) 782-2967
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
14369
NV
207P00000X
Emergency Medicine Physician
26253
CO
207Q00000X
Family Medicine Physician
14369
NV
207Q00000X
Family Medicine Physician
26253
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01262534
—
CO
05
—
632738
—
AZ
05
—
W6787
—
NM
Enumeration date
10/26/2005
Last updated
11/02/2012
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