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Organization
PHILIP WARREN EARLY MD A MEDICAL COMP
Active
Organization
PHILIP WARREN EARLY MD A MEDICAL COMP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP WARREN EARLY MD (GROUP PRESIDENT)
(559) 784-1110
Entity
Organization
Contact information
Practice address
465 W PUTNAM, PORTERVILLE, CA 93257
(559) 784-1110
Mailing address
PO BOX 7096, STOCKTON, CA 95267
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0101380
—
CA
01
—
ZZZ65686Z
BS OF CA
CA
Enumeration date
05/16/2006
Last updated
10/11/2007
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