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NPI Code Detail

MEDICARE: DAN M PHILLIPS MD

MEDICARE:   DAN M PHILLIPS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician39060NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871633768
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAN M PHILLIPS MD
Provider Business Mailing Address
First Line : 464 SHADY OAK RD
Second Line :
City : ROXBORO
State : NC
Zip : 27574-9051
Country : US
Telephone Number : 336-322-4333
Fax Number :
Provider Business Practice Location Address
First Line : 406 US 1 HWY STE A
Second Line :
City : YOUNGSVILLE
State : NC
Zip : 27596-7847
Country : US
Telephone Number : 919-679-1880
Fax Number : 800-507-0902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2007
Last Update Date : 04/10/2025

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Directions to “ DAN M PHILLIPS MD” Practice Location

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