Individual
EVAN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3054 FIFTH AVE, KETCHIKAN, AK 99901-5773
(907) 225-4350
Mailing address
3054 FIFTH AVE, KETCHIKAN, AK 99901-5773
(907) 225-4350
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NUR R 35982
AK
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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