PHILLIP BANDEL

EPIPHANY DERMATOLOGY PA

Dr PHILLIP BANDEL is a male medical professional, specializing in Dermatology. He graduated in 1971 from Louisiana State University School Of Medicine In New Orleans.

Contact

EPIPHANY DERMATOLOGY PA

911 LAMAR AVE
PARIS
TX
754604681

Tel: 9037857546

PHILLIP BANDEL Information

Npi 1912957101
Pac Id 5395921845
Professional Enrollment Id I20110517000665
Last Name BANDEL
First Name PHILLIP
Middle Name
Suffix
Gender M
Credential
Medical School Name LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year 1971
Primary Specialty DERMATOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name EPIPHANY DERMATOLOGY PA
Group Practice Pac Id 3971827791
Number Of Group Practice Members 32
Line 1 Street Address 911 LAMAR AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PARIS
State TX
Zip Code 754604681
Phone Number 9037857546
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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