Individual
CHARLES A PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1441 CONSTITUTION BLVD, SALINAS, CA 93906-3100
(831) 755-4111
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA13732
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA13732
—
CA
Enumeration date
07/24/2006
Last updated
09/01/2009
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