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Individual

PHILIP N. MASSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
010134117
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6688-0008
CAREFIRS
VA
05
7237791
VA
05
7237812
VA
05
7247630
VA
05
7270160
VA
Enumeration date
01/19/2006
Last updated
11/01/2011
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