Individual
VICKI J PHILBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
310 HARTNELL AVE, REDDING, CA 96002-1800
(530) 244-2223
(530) 244-4799
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G52065
CA
2086X0206X
Surgical Oncology Physician
Primary
G52065
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G520650
BLUE SHIELD
CA
05
—
00G520651
—
CA
01
—
3187177
CIGNA
CA
01
—
5318419
AETNA
CA
01
—
P00977722
RAILROAD MEDICARE
CA
Enumeration date
01/31/2006
Last updated
01/12/2012
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