Individual
DOLORES ANN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5800 BROADWAY, SUITES A-J, MERRILLVILLE, IN 46410-2601
(219) 884-9180
(219) 884-9280
Mailing address
6306 WAITE ST, MERRILLVILLE, IN 46410-2854
(219) 884-1455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28053858A
IN
Other
Enumeration date
03/05/2007
Last updated
01/19/2011
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