Provider Demographics
NPI:1285953265
Name:PHILLIPS, NICHOLAS STEVE (MD PHD)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:STEVE
Last Name:PHILLIPS
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:262 DANNY THOMAS PL
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38105-3678
Mailing Address - Country:US
Mailing Address - Phone:901-595-6092
Mailing Address - Fax:
Practice Address - Street 1:262 DANNY THOMAS PLACE
Practice Address - Street 2:MAIL STOP 735
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38105
Practice Address - Country:US
Practice Address - Phone:866-899-6677
Practice Address - Fax:901-595-6092
Is Sole Proprietor?:No
Enumeration Date:2010-05-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program