Individual
EMMA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPAS, PA-C
Contact information
Practice address
502 W BROAD ST STE 2, FALLS CHURCH, VA 22046-3206
(571) 421-8431
Mailing address
19015 PHEASANT CHASE CT, PURCELLVILLE, VA 20132-4379
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008978
VA
Other
Enumeration date
09/01/2022
Last updated
07/24/2024
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