Organization
JOHN C PHILLIPS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CHARLES PHILLIPS MD (OWNER)
(412) 431-1722
Entity
Organization
Contact information
Practice address
1726 E CARSON ST, PITTSBURGH, PA 15203-1706
(412) 431-1722
(412) 431-2128
Mailing address
1726 E CARSON ST, PITTSBURGH, PA 15203-1706
(412) 431-1722
(412) 431-2128
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD012430E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007498050012
—
PA
01
—
00933B
UPMC
PA
01
—
1763881
HIGH MARK
PA
01
—
DD8307
RAILROAD MEDICARE
PA
Enumeration date
11/28/2007
Last updated
08/22/2008
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