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Individual

CHERYL L PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2801 K ST, #520, SACRAMENTO, CA 95816-5120
(916) 733-8244
(916) 733-8564
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(800) 470-0071

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G57920
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G579200
CA
Enumeration date
09/16/2006
Last updated
07/08/2007
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