Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK TERRANCE PHILLIPS
ActiveMARK TERRANCE PHILLIPS is a Endodontics healthcare provider located in ANOKA, Minnesota. NPI 1245403211 is currently active in the NPPES registry. Verify at CMS.
Endodontics · ANOKA, MN
Registration Details
- NPI Number
- 1245403211
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2008 (18.364097358867 yrs)
- Last Updated
- Aug 15, 2012
- License
-
D12534 (MN)
Practice Information
- Address
-
4024 8TH LNANOKA, MN, 553031251Browse MN providers · Browse ZIP 55303
- Phone
- 5073860288
- Primary Specialty
-
Endodontics
1223E0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.