Organization
PHYLLIS MO, DO, INC
Active
Other names
The Osteopathic Way
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA JAMES FISCHER DO (CREDENTIALING/BILLING CONSULTANT)
(831) 920-3838
Entity
Organization
Contact information
Practice address
1021 E WALNUT ST STE 101, PASADENA, CA 91106-1479
(626) 658-8697
Mailing address
1021 E WALNUT ST STE 101, PASADENA, CA 91106-1479
(626) 658-8697
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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