Individual
LINDA SUE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 FINCH RD, PARKER-RACOR HEALTHSTAT CLINIC, MODESTO, CA 95354-4125
(209) 575-7481
(209) 575-7440
Mailing address
3400 FINCH RD, PARKER-RACOR HEALTHSTAT CLINIC, MODESTO, CA 95354-4125
(209) 575-7481
(209) 575-7440
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 14856
CA
Other
Enumeration date
09/16/2006
Last updated
10/06/2009
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