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Organization
PHILLIPS MED INC
Active
Organization
PHILLIPS MED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK PHILLIPS MD (CEO)
(209) 499-0090
Entity
Organization
Contact information
Practice address
4100 CENTRAL AVE, STE. 106, RIVERSIDE, CA 92506-2933
(951) 683-6830
Mailing address
4100 CENTRAL AVE, STE. 106, RIVERSIDE, CA 92506-2933
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A139283
CA
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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