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Individual

PHILIP TYLER MINSHEW

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
0101243052
VA
2085R0202X
Diagnostic Radiology Physician
A91817
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101243052
MEDICAL LICENSE
VA
01
0104
CAREFIRST BCBS
VA
01
273522
KAISER PERMANENTE
VA
05
3810011982
WV
01
P00622666
RR MEDICARE
DC
Enumeration date
01/27/2006
Last updated
10/29/2008
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