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Organization
PHYLLIS MO, DO, INC
Active
Organization
PHYLLIS MO, DO, INC
Active
Other names
The Osteopathic Way
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA JAMES FISCHER DO (CREDENTIALING/BILLING CONSULTANT)
(831) 920-3838
Entity
Organization
Contact information
Practice address
1021 E WALNUT ST STE 101, PASADENA, CA 91106-1479
(626) 658-8697
Mailing address
1021 E WALNUT ST STE 101, PASADENA, CA 91106-1479
(626) 658-8697
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
NULL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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