Individual
DR. MARY-ANN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7 CHENOWETH DR, BRIDGEPORT, WV 26330-1887
(304) 842-5777
Mailing address
PO BOX 763, MORGANTOWN, WV 26507-0763
(800) 541-4009
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24493
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2009
Last updated
10/10/2019
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