Individual
DR. DANIEL B PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
690 GUZZI LN, SUITE C, SONORA, CA 95370-5289
(209) 533-0333
(209) 533-0782
Mailing address
690 GUZZI LN, SUITE C, SONORA, CA 95370-5289
(209) 533-0333
(209) 533-0782
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G56099
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G560991
MEDICARE PTAN
CA
01
—
CG6463
RR MEDICARE
CA
01
—
P00002757
RR MEDICARE
CA
01
—
ZZZ35562Z
MEDICARE ID
CA
Enumeration date
04/14/2006
Last updated
11/19/2015
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