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Individual

PHILIP W. HYDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(559) 353-6022
(559) 353-7176
Mailing address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(559) 353-6022
(559) 353-7176

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
178899
NY
2080C0008X
Child Abuse Pediatrics Physician
Primary
G83725
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G837250
CA
05
01206440
NY
Enumeration date
10/09/2006
Last updated
05/28/2010
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