Individual provider · Type 1 NPI
Madison Taylor Phillips, MSW
General Practice Physician · Ehrenberg, AZ
NPI number
1366080475
Active
Practice location
15741 Bering St
Ehrenberg, AZ 85334-0010
Mailing address
PO Box 82
Ehrenberg, AZ 85334-0082
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 91820 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1366080475
Madison Taylor Phillips, MSW's National Provider Identifier is 1366080475, issued on Dec 19, 2019. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Ehrenberg, AZ. The record was last updated on Dec 19, 2019.