| Doctor Name: | MRS. MARY ELIZABETH PHILLIPS |
| NPI Number: | 1003089244 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 283037 |
| Business Practice Address: | 5319 Eel River Ct North Las Vegas, NV - 890313504 |
| Business Phone Number: | 7029941459 |
| Business Fax Number: | |
| Mailing Address: | 5319 Eel River Ct, NORTH LAS VEGAS |
| State: | NV |
| Postal Code: | 890313504 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/09/2008 |
| NPI Last Update Date: | 04/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471M2300X |
| License Number: | 283037 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NV |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Mammography |
| Taxonomy Definition: | |