Maryanne Deforest Phillips, MD - Las Vegas, NV

Maryanne Deforest Phillips, MD

Specialist in Las Vegas, Nevada

NPI 1780698456

Maryanne Deforest Phillips is a Specialist based in Las Vegas, NV. Maryanne Deforest Phillips practices in Las Vegas, NV and has the professional credentials of MD. The NPI Number for Maryanne Deforest Phillips is 1780698456 and holds a License No. 7635 (Nevada).

The current practice location address for Maryanne Deforest Phillips is 5052 Jones Blvd, Las Vegas, NV and can be reached out via phone at 702-822-1881 and via fax at 702-822-1880.

Location: 5052 Jones Blvd, Las Vegas, NV, 89141-4369

NPI Number

1780698456

Provider Name

Maryanne Deforest Phillips

Credential

Provider Entity Type

Individual

Gender

Female

Address

5052 Jones Blvd, Las Vegas, NV, 89141-4369

Phone Number

702-822-1881

Fax Number

702-822-1880

Provider Enumeration Date

07/28/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
00A637530	01	CA	BLUE SHIELD
00A637530	05	CA

Address

5052 Jones Blvd

City

Las Vegas

State

Nevada

Zip

89118

Phone Number

702-822-1881

Fax Number

702-822-1880

Address

5052 Jones Blvd

City

Las Vegas

State

Nevada

Zip

89118

Phone Number

702-822-1881

Fax Number

702-822-1880

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

7635 (Nevada)

Definition

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.

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