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1912920232
MARK T PHILLIPS
MANASSAS, VA
NPI
1912920232
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110001989)
Enumeration Date
2006-07-26
Last Update Date
2010-11-03
Business Address
-- MARK T PHILLIPS PA
8700 SUDLEY ROAD PRINCE WILLIAM HOSPITAL
MANASSAS, VA 20110
Phone number: 703-369-8337
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Mailing Address
-- MARK T PHILLIPS PA
20010 CENTURY BLOULEVARD SUITE 200
GERMANTOWN, MD 20874-1106
Phone number: 240-686-2300
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