| NPI | 1043527336 |
|---|---|
| Other Name | TED PHILLIPS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A03572) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS A810366) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 15094) | |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2016-07-19 |