Individual
DR. CHARLES SAMUEL PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 274-4779
(317) 948-9806
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
02006187A
IN
2080N0001X
Neonatal-Perinatal Medicine Physician
20A9841
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300040766
—
IN
05
—
833629
—
AZ
Enumeration date
11/06/2007
Last updated
01/28/2025
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