Healthcare Provider Details

I. General information

NPI: 1972591899
Provider Name (Legal Business Name): PHILLIP R SAY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2005
Last Update Date: 01/31/2023
Certification Date: 01/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3692 E SUNSET RD
LAS VEGAS NV
89120-7237
US

IV. Provider business mailing address

3692 E SUNSET RD
LAS VEGAS NV
89120-7237
US

V. Phone/Fax

Practice location:
  • Phone: 702-735-7668
  • Fax: 702-735-1411
Mailing address:
  • Phone: 702-735-7668
  • Fax: 702-735-1411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number053153
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License Number053153
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code207YX0602X
TaxonomyOtolaryngic Allergy Physician
License Number053153
License Number StateGA
# 4
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number15683
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: