Individual
CAMERON PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1000 KRESKY AVE STE J, CENTRALIA, WA 98531-3794
(360) 736-1191
(360) 736-1192
Mailing address
1000 KRESKY AVE STE J, CENTRALIA, WA 98531-3794
(360) 736-1191
(360) 736-1192
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00010009
WA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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