Individual
WENDELL B PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
19636 N 27TH AVE, SUITE 308, PHOENIX, AZ 85027-4013
(623) 780-1999
(623) 516-0950
Mailing address
2500 W UTOPIA RD, STE. 100, PHOENIX, AZ 85027-4171
(602) 214-6148
(602) 214-6149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2226
AZ
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
2226
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268715
—
AZ
Enumeration date
08/19/2005
Last updated
03/06/2020
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