Individual
PHILIP MW PAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2214 VISTA RODEO DR, EL CAJON, CA 92019-3564
(619) 579-0460
(619) 464-1311
Mailing address
2214 VISTA RODEO DR, EL CAJON, CA 92019-3564
(619) 579-0460
(619) 464-1311
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G24881
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G248811
—
CA
Enumeration date
03/21/2007
Last updated
07/08/2007
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