Individual
MR. PHILLIP DEAN ORR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1265 SAN CRISTOBAL DR, RIVERSIDE, CA 92506-3624
(951) 682-7867
(951) 682-7867
Mailing address
1265 SAN CRISTOBAL DR, RIVERSIDE, CA 92506-3624
(951) 682-7867
(951) 682-7867
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DME41201
COUNTY OF RIVERSIDE
CA
Enumeration date
03/07/2016
Last updated
03/07/2016
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