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Pamela Martin Phillips, MD
Diagnostic Radiology Physician in Charleston, West Virginia
NPI 1992760698

Pamela Martin Phillips is a Diagnostic Radiology Physician based in Charleston, WV and is specialized in Diagnostic Radiology. Pamela Martin Phillips practices in Charleston, WV and has the professional credentials of MD. The NPI Number for Pamela Martin Phillips is 1992760698 and holds a License No. 19277 (West Virginia).

The current practice location address for Pamela Martin Phillips is 1120 Kanawha Blvd E, Charleston, WV and can be reached out via phone at 304-344-3457 and via fax at 304-344-3480. You can also correspond with Pamela Martin Phillips through the mailing address at PO BOX 11137, CHARLESTON, WV - 25339-1137 (mailing address contact number: 304-344-3457).

Location: 1120 Kanawha Blvd E, Charleston, WV, 25339-1137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992760698
Provider Name
Pamela Martin Phillips
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1120 Kanawha Blvd E, Charleston, WV, 25339-1137
Phone Number
304-344-3457
Fax Number
304-344-3480
Provider Enumeration Date
04/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7243898 05 VA
7243871 05 VA
7243880 05 VA
7243863 05 VA
0122386000 05 WV
6688-0024 01 VA CAREFIRST
7247371 05 VA
institution
Provider Business Practice Location Address Details
Address
1120 Kanawha Blvd E
City
Charleston
State
West Virginia
Zip
25301-2400
Phone Number
304-344-3457
Fax Number
304-344-3480
person
Provider Business Mailing Address Details
Address
Po Box 11137
City
Charleston
State
West Virginia
Zip
25339-1137
Phone Number
304-344-3457
Fax Number
304-344-3480
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Pediatric Radiology
Taxonomy
2085P0229X
License No.
19277 (West Virginia)
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
19277 (West Virginia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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