Individual
ANDREW WADE PHIPPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2960 E CASTO LN, HOLLADAY, UT 84117-7123
(801) 556-1866
(801) 649-5966
Mailing address
2960 E CASTO LN, HOLLADAY, UT 84117-7123
(801) 556-1866
(801) 576-7536
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
284016-2401
UT
Other
Enumeration date
04/27/2016
Last updated
05/03/2021
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