| Hollis E Phillips M.d. P.c. | |
|
2040 W Bethany Home Rd Suite 101 Phoenix AZ 85015-2445 | |
| (602) 248-0224 | |
| (602) 248-0235 |
| Full Name | Hollis E Phillips M.d. P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 2040 W Bethany Home Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Hollis E Phillips (PRESIDENT) |
| Authorized Official Contact | 6022480224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hollis E Phillips M.d. P.c. 2040 W Bethany Home Rd Suite 101 Phoenix AZ 85015-2445 Ph: (602) 248-0224 | Hollis E Phillips M.d. P.c. 2040 W Bethany Home Rd Suite 101 Phoenix AZ 85015-2445 Ph: (602) 248-0224 |
| NPI Number | 1285716225 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 11/28/2011 |
| Medicare PECOS PAC ID | 3870666175 |
|---|---|
| Medicare Enrollment ID | O20080721000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285716225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Arizona) | Primary |
| Provider Name | Mark K Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902988934 PECOS PAC ID: 5496654030 Enrollment ID: I20040102000688 |
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