Individual
PAMELA MARTIN PHILLIPS
Active
Individual
PAMELA MARTIN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
19277
WV
2085R0202X
Diagnostic Radiology Physician
Primary
19277
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122386000
—
WV
01
—
6688-0024
CAREFIRST
VA
05
—
7243863
—
VA
05
—
7243871
—
VA
05
—
7243880
—
VA
05
—
7243898
—
VA
05
—
7247371
—
VA
Enumeration date
04/18/2006
Last updated
08/04/2021
Update your record
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