Individual
PHILLIP CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
6377 RIVERSIDE AVE STE B100, RIVERSIDE, CA 92506-3133
(951) 686-5325
Mailing address
6377 RIVERSIDE AVE STE B100, RIVERSIDE, CA 92506-3133
(951) 686-5325
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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