Individual provider · Type 1 NPI
Phillip L. Mardis, RN
Gastroenterology Registered Nurse · Rancho Mirage, CA
NPI number
1710831029
Active
Practice location
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Mailing address
47451 Poppy Ln
La Quinta, CA 92253-8314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gastroenterology Registered Nurse Primary | 163WG0100X | 95192748 (CA) |
Gastroenterology Registered Nurse: Definition to come...
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About NPI 1710831029
Phillip L. Mardis, RN's National Provider Identifier is 1710831029, issued on Feb 24, 2026. The primary taxonomy on file is Gastroenterology Registered Nurse (163WG0100X), and the practice location is in Rancho Mirage, CA. The record was last updated on Feb 24, 2026.