Individual
PATRICIA J PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10 FOREST FALLS DRIVE, SUITE 11, YARMOUTH, ME 04096
(207) 847-9200
(207) 847-9315
Mailing address
10 FOREST FALLS DRIVE, SUITE 11, YARMOUTH, ME 04096
(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
01
—
0380
CIGNA
—
Enumeration date
09/05/2006
Last updated
07/08/2007
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