Individual
TODD STEVEN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8526 DEL WEBB BLVD, LAS VEGAS, NV 89134-8676
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(028) 775-1997
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0278
NV
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
12/09/2013
Last updated
05/18/2023
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