Provider Demographics
NPI:1275761884
Name:USERA, PHILLIP C (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILLIP
Middle Name:C
Last Name:USERA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:401 WEST 2ND STREET,
Mailing Address - Street 2:NELSON/235D/MAIL STOP 353
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-0353
Mailing Address - Country:US
Mailing Address - Phone:775-784-1223
Mailing Address - Fax:775-327-2006
Practice Address - Street 1:1664 NORTH VIRGINIA
Practice Address - Street 2:MAIL STOP 350, MANVILLE/PATHOLOGY & LABORATORY MEDICINE
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89557
Practice Address - Country:US
Practice Address - Phone:775-784-4068
Practice Address - Fax:775-784-1636
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2014-05-21
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Provider Licenses
StateLicense IDTaxonomies
AZ46991207ZP0102X
NV15287207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology