Individual
FATIMA C PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H., PH.D.
Contact information
Practice address
1178 KINOOLE ST, BLDG B, HILO, HI 96720-7206
(808) 969-1427
Mailing address
224 HAILI ST, BLDG B, HILO, HI 96720-2975
(808) 969-1427
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD-15428
HI
207Q00000X
Family Medicine Physician
ME83731
FL
208D00000X
General Practice Physician
MD-15428
HI
208D00000X
General Practice Physician
Primary
ME83731
FL
Other
Enumeration date
01/10/2008
Last updated
08/31/2010
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