Individual
PAMELA KIM PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2805 5TH ST, 100, RAPID CITY, SD 57701-7306
(605) 755-5700
(605) 755-3691
Mailing address
4513 WILLIAMS DR, GEORGETOWN, TX 78633-1302
(512) 930-3909
(512) 869-5868
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
S4216
TX
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
S4216
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
473987600
—
MN
Enumeration date
01/17/2006
Last updated
02/03/2022
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