Organization
CENTURY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES R PHILLIPS M.D. (PRESIDENT)
(661) 322-7500
Entity
Organization
Contact information
Practice address
3201 F ST STE 250, BAKERSFIELD, CA 93301-1846
(661) 322-7500
(661) 322-7510
Mailing address
3201 F ST STE 250, BAKERSFIELD, CA 93301-1846
(661) 322-7500
(661) 322-7510
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
C41767
CA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C41767
LICENSE NUMBER
CA
Enumeration date
05/19/2007
Last updated
04/14/2010
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