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PIUS R PHILLIP

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1033731716

Individual Registrant:
 PIUS R PHILLIP 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
101 ANDERSON STREET CLINIC ROAD  ALAKANUK, AK 99554 US
Tel: 907-238-3151  Fax: 907-238-3706

Contact information for business:
101 ANDERSON STREET CLINIC ROAD  ALAKANUK, AK 99554 US
Tel: 907-238-3151  Fax: 907-238-3706

Registration Information:
NPI: 1033731716
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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