NPI | 1659533230 |
---|---|
Professional Name | GREGORY R PHILLIPS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN240465) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000143740) |
367500000X Nurse Anesthetist, Certified Registered (Licence: NC 5172) | |
Enumeration Date | 2008-06-25 |
Last Update Date | 2020-12-09 |