Organization
MEDICAL GROUP OF SAN JOAQUIN VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ROY PHILLIPS M.D. (OWNER)
(661) 322-7500
Entity
Organization
Contact information
Practice address
3201 F ST, SUITE 250, BAKERSFIELD, CA 93301-1839
(661) 322-7500
(661) 322-7510
Mailing address
3201 F ST, SUITE 250, BAKERSFIELD, CA 93301-1839
(661) 322-7500
(661) 322-7510
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G16783
CA
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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