| NPI | 1487205829 |
|---|---|
| Doing Business As | PHILLIPS PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | CATHERINE DURST PHILLIPS Member 662-371-1543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2020-02-12 |