NPI 1962481044 · live from the CMS NPI Registry
Pamela Kim Phillips, MD
Dermatology, MOHS-Micrographic Surgery in Rapid City, SD. National Provider Identifier 1962481044, active.
NPI record
| NPI | 1962481044 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology, MOHS-Micrographic Surgery 207ND0101X |
| Practice location | 2805 5th St, 100, Rapid City, SD 57701 |
| Practice phone | 605-755-5700 |
| Mailing address | 4513 Williams Dr, Georgetown, TX 78633 |
| Enumerated | January 17, 2006 |
| Last updated | February 3, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | S4216 (TX) |
| Dermatology, MOHS-Micrographic Surgery primary | 207ND0101X | S4216 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.