Individual
PHILLIP MICHAEL CORAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
30434 N PALO BREA DR, SCOTTSDALE, AZ 85262-5401
(480) 473-2777
(480) 275-8086
Mailing address
30434 N PALO BREA DR, SCOTTSDALE, AZ 85262-5401
(480) 473-2777
(480) 275-8086
Taxonomy
Speciality
Code
Description
License number
State
163WS0121X
Plastic Surgery Registered Nurse
Primary
RN080406
AZ
Other
Enumeration date
08/02/2006
Last updated
09/11/2008
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