Provider Demographics
NPI:1194041491
Name:PHILLIPS, CHESTER AIKEN III (MD)
Entity Type:Individual
Prefix:DR
First Name:CHESTER
Middle Name:AIKEN
Last Name:PHILLIPS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 KENT DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-2115
Mailing Address - Country:US
Mailing Address - Phone:412-833-2889
Mailing Address - Fax:
Practice Address - Street 1:201 KENT DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-2115
Practice Address - Country:US
Practice Address - Phone:412-833-2889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-12
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA012093E207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology