Individual
DR. COREY D PHILPOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3006 S MARYLAND PKWY STE 510, LAS VEGAS, NV 89109-2224
(702) 697-5234
Mailing address
3006 S MARYLAND PKWY STE 510, LAS VEGAS, NV 89109-2224
(702) 697-5234
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD00047905
WA
2080P0203X
Pediatric Critical Care Medicine Physician
13176
NV
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD00047905
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34528100
—
WA
05
—
446280
—
AZ
Enumeration date
08/19/2006
Last updated
06/08/2011
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