Individual
DR. PHYLLIS M TRUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3694 STARRS CENTRE DR, CANFIELD, OH 44406-9514
(330) 702-1310
(330) 702-3144
Mailing address
3694 STARRS CENTRE DR, CANFIELD, OH 44406-9514
(330) 702-1310
(330) 702-3144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.008081
OH
207QD0401X
Diabetology (Family Medicine) Physician
Primary
34.008081
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074457
—
OH
Enumeration date
05/29/2012
Last updated
02/04/2026
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