Individual
DR. JOHN PATRICK PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1303 E HERNDON AVE, FRESNO, CA 93720-3309
(559) 450-3281
Mailing address
2100 POWELL ST STE 900, EMERYVILLE, CA 94608-1844
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G46208
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G462080
BS OF CA
—
05
—
00G462080
—
CA
01
—
G46208
BC OF CA
—
Enumeration date
06/09/2006
Last updated
03/15/2019
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