Individual
DEAN CHARLES PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5959 BIG TREE RD STE 108, ORCHARD PARK, NY 14127-2291
(716) 204-3200
(716) 204-4337
Mailing address
4225 GENESEE ST STE 400, CHEEKTOWAGA, NY 14225-1994
(716) 204-3200
(716) 204-4337
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
030011
NY
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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