Individual
PHILIP J CITEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7619 MORRO RD, ATASCADERO, CA 93422-4433
(805) 461-9192
(805) 461-5802
Mailing address
PO BOX 4609, SAN LUIS OBISPO, CA 93403-4609
(805) 461-9192
(805) 461-5802
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
A047889
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A047889
CA
Other
Enumeration date
09/22/2006
Last updated
09/03/2010
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