Organization
PATRICIA J. PHILLIPS, DO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA J PHILLIPS DO (PROPRIETOR)
(207) 847-9200
Entity
Organization
Contact information
Practice address
10 FOREST FALLS DR, SUITE 11, YARMOUTH, ME 04096-6936
(207) 847-9200
(207) 847-9315
Mailing address
10 FOREST FALLS DR, SUITE 11, YARMOUTH, ME 04096-6936
(207) 847-9200
(207) 847-9315
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1166
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
239500000
—
ME
Enumeration date
05/22/2008
Last updated
05/22/2008
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