| Russell E Phillips Md Llc | |
|
100 E Lancaster Ave Ste 415 Wynnewood PA 19096-3439 | |
| (610) 896-5710 | |
| (610) 896-1667 |
| Full Name | Russell E Phillips Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 100 E Lancaster Ave Ste 415, Wynnewood, Pennsylvania |
| Authorized Official Name and Position | Russell E Phillips (SOLE MEMBER) |
| Authorized Official Contact | 6109865710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell E Phillips Md Llc 100 E Lancaster Ave Ste 415 Wynnewood PA 19096-3439 Ph: (610) 896-5710 | Russell E Phillips Md Llc 100 E Lancaster Ave Ste 415 Wynnewood PA 19096-3439 Ph: (610) 896-5710 |
| NPI Number | 1841755048 |
|---|---|
| Provider Enumeration Date | 02/01/2019 |
| Last Update Date | 03/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841755048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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