Individual
MADISON TAYLOR PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
15741 BERING ST, EHRENBERG, AZ 85334-0010
(619) 857-6897
Mailing address
PO BOX 82, EHRENBERG, AZ 85334-0082
(619) 857-6897
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
91820
CA
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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