Organization
RUSSELL E PHILLIPS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL E PHILLIPS MD (SOLE MEMBER)
(610) 986-5710
Entity
Organization
Contact information
Practice address
100 E LANCASTER AVE STE 415, WYNNEWOOD, PA 19096-3439
(610) 896-5710
(610) 896-1667
Mailing address
100 E LANCASTER AVE STE 415, WYNNEWOOD, PA 19096-3439
(610) 896-5710
(610) 896-1667
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/01/2019
Last updated
03/26/2019
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