Individual
ROBERT ARTHUR PHILLIPS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4160
(260) 435-7001
Mailing address
5734 COVENTRY LN, FORT WAYNE, IN 46804-7141
(260) 436-7875
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28215641A
IN
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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