Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Mario Delano Phillips Jr., IDC

Individual provider Independent Duty Corpsman · NPI 1336582774

Mr. Mario Delano Phillips Jr., IDC is an Independent Duty Corpsman in Chesapeake, Virginia. Practices as a sole proprietor. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

745 Eden Way N
Chesapeake, VA 23320
Phone: (757) 560-2457
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1336582774
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorYes
NPI enumeratedApril 16, 2013
Last updated in NPPESApril 16, 2013

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