Individual
STEPHEN J PHIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1290 HOSPITAL DR, SUITE 5, ST JOHNSBURY, VT 05819-9239
(802) 748-8126
Mailing address
1290 HOSPITAL DR, SUITE 5, SAINT JOHNSBURY, VT 05819-9205
(802) 748-8126
(802) 748-2208
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
042-0010054
VT
207W00000X
Ophthalmology Physician
10966
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN2361
—
VT
05
—
30201296
—
NH
Enumeration date
09/19/2005
Last updated
08/08/2016
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