Provider Information for 1003064825
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Dr. CHERIE RENEE PHILLIPS M.D.
Sex: Female
NPI: 1003064825
Last Updated: 2020-12-01
Certification Date: 2020-12-01
Certification Date: 2020-12-01
Details
| Name | Value | |||||||||||||||||||||
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| NPI | 1003064825 | |||||||||||||||||||||
| Enumeration Date | 2008-09-04 | |||||||||||||||||||||
| NPI Type | NPI-1 Individual | |||||||||||||||||||||
| Sole Proprietor | NO | |||||||||||||||||||||
| Status | Active | |||||||||||||||||||||
| Mailing Address | 8055 MAYFIELD RD STE 105 CHESTERLAND, OH 44026-2447 United States Phone: 440-214-8027 | Fax:216-201-8173 | |||||||||||||||||||||
| Primary Practice Address | 6707 POWERS BLVD STE 202 PARMA, OH 44129-5464 United States Phone: 440-743-2380 | Fax:440-743-2381 | |||||||||||||||||||||
| Secondary Practice Address(es) | 5020 W BRISTOL RD | |||||||||||||||||||||
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