Individual
MR. ROBERT LEWIS PHILLIPS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 855-3464
Mailing address
185 RIVER ROCK DR, ROCKY MOUNT, VA 24151-4069
(540) 489-0839
(540) 489-0839
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001107282
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024164244
VA
Other
Enumeration date
07/06/2006
Last updated
01/25/2008
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