Individual
STEPHEN SCOTT PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 LOS GAMOS DR, SAN RAFAEL, CA 94903-1850
(415) 492-5400
Mailing address
1650 LOS GAMOS DR, SAN RAFAEL, CA 94903-1850
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A187902
CA
Other
Enumeration date
04/03/2019
Last updated
09/28/2023
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