Individual
MR. WILKERSON P PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1601 PERDIDO ST, NEW ORLEANS, LA 70112-1262
(504) 568-0811
Mailing address
1764 WEDGWOOD DR, HARVEY, LA 70058-7436
(504) 328-4079
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APO1534
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1543993
—
LA
Enumeration date
01/11/2007
Last updated
03/12/2009
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