Individual
PHILLIP DANIEL MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
INDEPENDENT DUTY COR
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6400
Mailing address
5431 LAKE MURRAY BLVD UNIT 4, LA MESA, CA 91942-1545
(904) 548-7058
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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