Individual
PHILLIP A TRIANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2932 PUMP HOUSE RD, MOUNTAIN BRK, AL 35243-1857
(205) 999-6786
(205) 876-8063
Mailing address
2932 PUMP HOUSE RD, MOUNTAIN BRK, AL 35243-1857
(205) 999-6786
(205) 876-8063
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
15968
AL
2085R0202X
Diagnostic Radiology Physician
Primary
15968
AL
2085R0202X
Diagnostic Radiology Physician
66574
TN
Other
Enumeration date
06/16/2005
Last updated
11/23/2025
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