Individual
REBECCA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
412 N 200 E, LOGAN, UT 84321-4038
(435) 713-2700
Mailing address
412 N 200 E, LOGAN, UT 84321-4038
(435) 713-2700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6701071-1205
UT
Other
Enumeration date
09/06/2006
Last updated
12/14/2011
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