Individual
GARY W PHIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
459 GLASS LN STE A4, MODESTO, CA 95356-9253
(209) 525-8400
(209) 869-4071
Mailing address
459 GLASS LN, STE 4, MODESTO, CA 95356-9253
(209) 525-8400
(209) 869-4071
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20385
CA
Other
Enumeration date
07/23/2009
Last updated
12/14/2010
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