| Russell E. Phillips, M.d., P.c. | |
|
31 Lankenau Medical Bldg. West 100 Lancaster Avenue Wynnewood PA 19096-3450 | |
| (610) 896-5710 | |
| Not Available |
| Full Name | Russell E. Phillips, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 31 Lankenau Medical Bldg. West, Wynnewood, Pennsylvania |
| Authorized Official Name and Position | Russell E. Phillips (PRESIDENT) |
| Authorized Official Contact | 6108965710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell E. Phillips, M.d., P.c. 31 Lankenau Medical Bldg. West 100 Lancaster Avenue Wynnewood PA 19096-3450 Ph: (610) 896-5710 | Russell E. Phillips, M.d., P.c. 31 Lankenau Medical Bldg. West 100 Lancaster Avenue Wynnewood PA 19096-3450 Ph: (610) 896-5710 |
| NPI Number | 1881887115 |
|---|---|
| Provider Enumeration Date | 08/21/2007 |
| Last Update Date | 08/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881887115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD015455E (Pennsylvania) | Primary |
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