Individual
DR. PHILIP FRED MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-2558
(541) 789-2558
Mailing address
691 MURPHY RD STE 218, MEDFORD, OR 97504-4311
(541) 789-6145
(541) 789-3037
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
G51239
CA
2084P0800X
Psychiatry Physician
Primary
MD183405
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G51239
THE MEDICAL BOARD OF CALIFORNIS
CA
Enumeration date
01/24/2010
Last updated
03/17/2018
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