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Organization
MEDICAL GROUP OF SAN JOAQUIN VALLEY
Active
Organization
MEDICAL GROUP OF SAN JOAQUIN VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ROY PHILLIPS M.D. (OWNER)
(661) 322-7500
Entity
Organization
Contact information
Practice address
3201 F ST, SUITE 250, BAKERSFIELD, CA 93301-1839
(661) 322-7500
(661) 322-7510
Mailing address
3201 F ST, SUITE 250, BAKERSFIELD, CA 93301-1839
(661) 322-7500
(661) 322-7510
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G16783
CA
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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