Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 1950 | AK |
NPI | 1174510663 |
---|---|
Provider Name | Carol J Phillips |
First Address | Fairbanks, AK 99708-0848 |
Second Address | Fairbanks, AK 99701-5925 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C97208 | (02) | |
MD1950 | (05) | AK |