Individual
PHILLIP CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
409 N PACIFIC COAST HWY STE 166, REDONDO BEACH, CA 90277-2870
(805) 660-3510
(866) 225-3208
Mailing address
409 N PACIFIC COAST HWY STE 166, REDONDO BEACH, CA 90277-2870
(805) 660-3510
(866) 225-3208
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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