Individual
PHILLIP LEE KINTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
280 SIERRA COLLEGE DR STE 115, GRASS VALLEY, CA 95945-5763
(530) 477-3119
(530) 274-2077
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G88574
CA
Other
Enumeration date
09/21/2005
Last updated
11/01/2021
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