Individual
BRANDON LANE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PAVILION RD, WEST MONROE, LA 71292-9470
(318) 323-1100
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
303412
LA
2080P0202X
Pediatric Cardiology Physician
N5944
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09731876
—
MS
05
—
2430718
—
LA
Enumeration date
07/11/2007
Last updated
11/01/2022
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