Phillips, Wendell B

Phillips, Wendell B is an individual health care provider with primary practice located at 19636 N 27Th Ave Suite 308, Phoenix AZ 85027-4013. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Phillips, Wendell B can be contacted via phone (623) 780-1999.

Contact Information

Primary practice address
19636 N 27Th Ave Suite 308 Phoenix AZ 85027-4013
Phone: (623) 780-1999
Fax: (623) 516-0950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2226 Arizona
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 2226 Arizona

Profile Details

NPI number 1598757114
LBN Legal business name Phillips, Wendell B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Mar 6th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598757114 NPPES
Arizona MEDICAID 268715

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