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Individual

SAMUEL PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-4200
(614) 722-4203

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0021448
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0165294
OH
Enumeration date
12/19/2025
Last updated
04/20/2026
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