Individual
PHILLIP WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7626
(318) 330-7648
Mailing address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7626
(318) 330-7648
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
05281R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326852
—
LA
Enumeration date
07/07/2006
Last updated
04/22/2008
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