Individual provider · Type 1 NPI

Bruce Phillips, AA, BS

Student in an Organized Health Care Education/Training Program · Baltimore, MD

NPI number 1710240510 Active

Practice location

2225 N Charles St
Baltimore, MD 21218-5778

Call (410) 366-4360 Map

Fax (410) 662-8547

Mailing address

3127 Crittenton Pl
Baltimore, MD 21211-2719

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1710240510

Bruce Phillips, AA, BS's National Provider Identifier is 1710240510, issued on Jun 18, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baltimore, MD. The record was last updated on Jun 18, 2012.