Individual
CHRISTOPHER DUVAL PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
729 SUNRISE AVE STE 602, ROSEVILLE, CA 95661-4542
(916) 953-7571
(916) 771-8515
Mailing address
729 SUNRISE AVE STE 611, ROSEVILLE, CA 95661-4548
(916) 953-7571
(916) 953-7571
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95011735
CA
Other
Enumeration date
09/18/2019
Last updated
12/30/2021
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