| Spencer D Phillips Md Mdvip Ltd | |
|
2113 Manor Ridge Dr Lancaster PA 17603-4215 | |
| (717) 517-7841 | |
| (717) 517-7853 |
| Full Name | Spencer D Phillips Md Mdvip Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 2113 Manor Ridge Dr, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Spencer D Phillips (PRESIDENT) |
| Authorized Official Contact | 7175177841 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer D Phillips Md Mdvip Ltd 2113 Manor Ridge Dr Lancaster PA 17603-4215 Ph: (717) 517-7841 | Spencer D Phillips Md Mdvip Ltd 2113 Manor Ridge Dr Lancaster PA 17603-4215 Ph: (717) 517-7841 |
| NPI Number | 1457384265 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 11/16/2022 |
| Medicare PECOS PAC ID | 1759361892 |
|---|---|
| Medicare Enrollment ID | O20040721000303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457384265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Pennsylvania) | Primary |
| Provider Name | Spencer D Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003849928 PECOS PAC ID: 7810965126 Enrollment ID: I20100617000453 |
| Provider Name | Kelly K Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508350695 PECOS PAC ID: 7618228966 Enrollment ID: I20210819003923 |
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