Maryanne Deforest Phillips in Las Vegas - Specialist
Maryanne Deforest Phillips - NPI 1780698456
Maryanne Deforest Phillips is a Specialist in Las Vegas, Nevada. Maryanne Deforest Phillips practices all healthcare services and medical treatments related to Specialist. The NPI Number for Maryanne Deforest Phillips is 1780698456. The last update date is 2012-04-13.
Maryanne Deforest Phillips's current location address is 10620 Southern Highlands Pkwy, Las Vegas, Nevada. You can contact this provider via phone number 7028221881 and fax number 7028221880. The mailing address for Maryanne Deforest Phillips is 10620 Southern Highlands Pkwy, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maryanne Deforest Phillips |
|---|---|
| Address | 10620 Southern Highlands Pkwy, Las Vegas, Nevada |
| Phone Number | 7028221881 |
| Fax Number | 7028221880 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1780698456 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2012-04-13 |
Provider Mailing Address Detail
| Address | 10620 Southern Highlands Pkwy |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891414369 |
| Phone Number | 7028221881 |
| Fax Number | 7028221880 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 7635 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A637530 | CA | BLUE SHIELD | |
| 00A637530 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Maryanne Deforest Phillips by the Centers for Medicare & Medicaid Services (CMS)?
The Maryanne Deforest Phillips has been assigned the NPI (National Provider Identifier) 1780698456. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Maryanne Deforest Phillips is physically located?
The Maryanne Deforest Phillips is situated at the following address: 10620 Southern Highlands Pkwy, Las Vegas, NV 891414369.
What is Maryanne Deforest Phillips's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Maryanne Deforest Phillips is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
When did the Maryanne Deforest Phillips receive its 1780698456?
The Maryanne Deforest Phillips was issued its 1780698456 on 2006-07-28, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Maryanne Deforest Phillips, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Maryanne Deforest Phillips, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-04-13.