Individual
CASSIDY JACQUELINE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2711
(937) 208-8000
Mailing address
1014 COURTNEY DR, DAYTON, OH 45431-1115
(765) 967-2414
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/11/2025
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