Individual
DR. DAVID LEWIS PHILLIPS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 US ROUTE 1 # 297, SCARBOROUGH, ME 04074-9048
(307) 264-3992
Mailing address
201 US ROUTE 1 # 297, SCARBOROUGH, ME 04074-9048
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
011906
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036963
ANTHEM BLUE CROSS
ME
05
—
132250000
—
ME
Enumeration date
02/29/2008
Last updated
05/14/2019
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