Individual
ALEXANDRA A PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4125 BRIARGATE PKWY, COLORADO SPRINGS, CO 80920-7804
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0004050
CO
363AM0700X
Medical Physician Assistant
Primary
PA.0004050
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234
LICENSE
CO
Enumeration date
07/31/2014
Last updated
07/20/2022
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