Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | DS 0000007839 | TN |
NPI | 1023090172 |
---|---|
Provider Name | Dr. Catherine Ann Phillips |
First Address | Hamilton, OH 45011-6078 |
Second Address | Hamilton, OH 45011-2811 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2005 |
Last Update Date | 19/08/2021 |