Individual
ROBERT RAYMOND PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP- BC
Contact information
Practice address
700 TECHNOLOGY DR, SOUTH CHARLESTON, WV 25309-8571
(304) 429-6741
Mailing address
163 CHICO HOLW, ALKOL, WV 25501-1104
(304) 524-2310
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
107660
WV
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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