| Doctor Name: | RICHARD CLAUDE PHILLIPS |
| NPI Number: | 1689032005 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD, MS, MPH |
| License Number: | 00020821 |
| Business Practice Address: | 51 W Dayton St Suite #305 Edmonds, WA - 980204111 |
| Business Phone Number: | 4256701560 |
| Business Fax Number: | 4253611512 |
| Mailing Address: | 51 W Dayton St, Suite #305 EDMONDS |
| State: | WA |
| Postal Code: | 980204111 |
| Phone Number: | 4256701560 |
| Fax Number: | 4253611512 |
| NPI Enumeration Date: | 01/30/2016 |
| NPI Last Update Date: | 01/31/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 00020821 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |