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Organization
TRACY T. PHILLIPS, MD, MEDICAL CORPORATION
Active
Organization
TRACY T. PHILLIPS, MD, MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY T PHILLIPS MD (PRESIDENT)
(510) 435-3311
Entity
Organization
Contact information
Practice address
2089 VALE ROAD, SUITE 10, SAN PABLO, CA 94806
(510) 234-4235
Mailing address
2089 VALE ROAD, SUITE 10, SAN PABLO, CA 94806
(510) 234-4235
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A84062
CA
Other
Enumeration date
10/02/2006
Last updated
01/21/2010
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