Individual
CAROL J PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5925
(907) 458-5555
Mailing address
PO BOX 80848, FAIRBANKS, AK 99708-0848
(866) 321-8433
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
1950
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD1950
—
AK
Enumeration date
09/30/2005
Last updated
07/08/2007
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