Individual
DR. PHILIP H CONWISAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4835 VAN NUYS BLVD STE 210, SHERMAN OAKS, CA 91403-2156
(818) 784-1354
(818) 784-5705
Mailing address
4835 VAN NUYS BLVD STE 210, SHERMAN OAKS, CA 91403-2156
(818) 784-1354
(818) 784-5705
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G74333
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G743330
—
CA
Enumeration date
08/27/2006
Last updated
05/01/2018
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