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Individual
DR. PHILIP GREENWOOD
Active
Individual
DR. PHILIP GREENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
20986
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548563323
GROUP NPI
CA
01
—
BS539A
INDIVIDUAL PTAN
CA
01
—
DC0209860
BLUE SHIELD
CA
01
—
DC20986
CHIROPRACTIC LICENSE
CA
Enumeration date
04/19/2007
Last updated
03/26/2014
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