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Individual

RYAN PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-6829
(504) 842-0089
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-6829
(504) 842-0089

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
390200000X
LA
2086S0120X
Pediatric Surgery Physician
Primary
39908
OK

Other

Enumeration date
05/25/2015
Last updated
07/11/2022
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