Individual
DR. ROGER STEVE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 W OLIVE AVE, SUITE 310, MERCED, CA 95348-2419
(209) 723-4551
(209) 723-0141
Mailing address
625 W OLIVE AVE, SUITE 310, MERCED, CA 95348-2419
(209) 723-4551
(209) 723-0141
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A35984
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
942553560
TAX IDENTIFICATION NUMBER
CA
05
—
LAB44024F
—
CA
Enumeration date
08/19/2005
Last updated
08/10/2009
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