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Individual

ANTHONY MICHAEL PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.T.

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26664
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00007
UNITED HEALTH CARE
CA
01
098313
HEALTH NET
CA
01
65730
INTERPLAN
CA
05
GR0087960
CA
01
PT00026664
BLUE CROSS
CA
01
ZZZ09778Z
BLUE SHIELD
CA
Enumeration date
07/21/2006
Last updated
04/07/2008
Update your record

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