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Individual

DR. PHILIP GAIR PEARSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
630 S RAYMOND AVE, SUITE 220, PASADENA, CA 91105-3278
(626) 795-8454
(626) 795-5631
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
(626) 775-3514
(626) 218-5310

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
C52579
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00C525790
BLUE SHIELD
CA
Enumeration date
12/15/2006
Last updated
11/27/2023
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