MARYANNE DEFOREST PHILLIPS M.D. NPI 1780698456

NPI Information

Maryanne Deforest Phillips, M.D. is a specialist in Las Vegas, NV. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Maryanne Deforest Phillips, M.D. NPI is 1780698456. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5052 JONES BLVD
135
LAS VEGAS, NV
ZIP 89118
Phone: (702) 822-1881
Fax: (702) 822-1880

The enumeration date for this NPI number is 7/28/2006 and was last updated on 4/13/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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