Individual
DR. GARY JACK PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26720 CROWN VALLEY PARKWAY, SUITE 200, MISSION VIEJO, CA 92691
(949) 364-2154
(949) 364-2110
Mailing address
26720 CROWN VALLEY PARKWAY, SUITE 200, MISSION VIEJO, CA 92691
(949) 364-2154
(949) 364-2110
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
000000C42990
CA
Other
Enumeration date
10/16/2006
Last updated
10/02/2008
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