Individual
NANCY J PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1402 S GRAND, ST LOUIS, MO 63110
(314) 577-8693
(314) 268-5478
Mailing address
1402 S GRAND BLVD, SAINT LOUIS, MO 63104-1004
(314) 977-4606
(314) 977-7615
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
R8H53
MO
Other
Enumeration date
07/28/2006
Last updated
03/15/2021
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