Individual
PHILLIP PINCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NNP
Contact information
Practice address
50 N MEDICAL DR, SLC, UT 84132-0001
(801) 581-2747
Mailing address
1933 RUA BRANCO DR, SANDY, UT 84093-6906
(801) 943-8078
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
AP8069
AZ
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
2172004485
UT
Other
Enumeration date
02/08/2007
Last updated
06/30/2025
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