| Doctor Name: | DR. JAMAL AMIR PHILLIPS |
| NPI Number: | 1548413362 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | |
| Business Practice Address: | 480 Central Ave Nhch, Bmc Kaneohe Bay, Attn: Aviation Medicine Dept Jbphh, HI - 968604908 |
| Business Phone Number: | 8082573365 |
| Business Fax Number: | |
| Mailing Address: | 480 Central Ave, Nhch, Bmc Kaneohe Bay, Attn: Aviation Medicine Dept JBPHH |
| State: | HI |
| Postal Code: | 968604908 |
| Phone Number: | 8082573365 |
| Fax Number: | |
| NPI Enumeration Date: | 10/23/2008 |
| NPI Last Update Date: | 04/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |