Individual
PHILLIP L MARDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
Mailing address
47451 POPPY LN, LA QUINTA, CA 92253-8314
(760) 340-3911
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
Primary
95192748
CA
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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