Amanda Ruth Phillips in Lafayette - Sports Medicine
Amanda Ruth Phillips - NPI 1962474064
Amanda Ruth Phillips is a Sports Medicine in Lafayette, Louisiana. Amanda Ruth Phillips practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Amanda Ruth Phillips is 1962474064. The last update date is 2022-07-14.
Amanda Ruth Phillips's current location address is 2390 W Congress St, Lafayette, Louisiana. You can contact this provider via phone number 3372616010 and fax number 3372616153. The mailing address for Amanda Ruth Phillips is 2390 W Congress St, Lafayette, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda Ruth Phillips |
|---|---|
| Address | 2390 W Congress St, Lafayette, Louisiana |
| Phone Number | 3372616010 |
| Fax Number | 3372616153 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1962474064 |
|---|---|
| Provider Enumeration Date | 2006-02-02 |
| Last Updated Date | 2022-07-14 |
Provider Mailing Address Detail
| Address | 2390 W Congress St |
|---|---|
| City | Lafayette |
| State | Louisiana (LA) |
| Post Code | 705064205 |
| Phone Number | 3372616010 |
| Fax Number | 3372616153 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 25853 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1042811 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Amanda Ruth Phillips by the Centers for Medicare & Medicaid Services?
The Amanda Ruth Phillips has been issued the NPI (National Provider Identifier) 1962474064 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Amanda Ruth Phillips's facilities are geographically located?
The facilities of Amanda Ruth Phillips are physically situated at the following location: 2390 W Congress St, Lafayette, LA, 705064205.
What is Amanda Ruth Phillips's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Amanda Ruth Phillips is Sports Medicine, and the corresponding taxonomy classification code for this specialized field is 207Qs0010X.
When did Amanda Ruth Phillips receive its 1962474064 assignment?
The Amanda Ruth Phillips was assigned its 1962474064 on 2006-02-02, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Amanda Ruth Phillips most recently updated or revised?
The information pertaining to Amanda Ruth Phillips, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-14.