Individual
MS. MICHELE JANE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1316 ALVERSER PLAZA, MIDLOTHIAN, VA 23113
(804) 379-0116
(804) 379-1088
Mailing address
PO BOX 72605, NORTH CHESTERFIELD, VA 23235-8017
(804) 379-0116
(804) 379-1088
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002608
VA
Other
Enumeration date
09/04/2007
Last updated
03/27/2013
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