Individual
DR. WILLIAM RUSSELL PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12920 US HIGHWAY 1 STE A, SEBASTIAN, FL 32958-3772
(321) 727-7992
Mailing address
12920 US HIGHWAY 1 STE A, SEBASTIAN, FL 32958-3772
(321) 727-7992
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35088267
OH
2086S0102X
Surgical Critical Care Physician
35088267
OH
2086S0102X
Surgical Critical Care Physician
Primary
ME133891
FL
2086S0127X
Trauma Surgery Physician
35088267
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102517900
—
FL
Enumeration date
07/25/2006
Last updated
03/21/2025
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