Individual
JEANNE VESEY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 GARDEN CT, B, MONTEREY, CA 93940-5302
(831) 647-1123
(831) 886-1529
Mailing address
PO BOX 480, SALINAS, CA 93902-0480
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C145503
CA
207RC0000X
Cardiovascular Disease Physician
MD25435
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022735
—
OR
01
—
P00893300
RR MEDICARE
OR
Enumeration date
08/22/2005
Last updated
10/18/2016
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