GLENN PHILLIPS

MISSION VIEJO, CA
NPI1023090487
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA 10513)
Enumeration Date2005-11-18
Last Update Date2016-05-26
Business Address
Mr. GLENN PHILLIPS PA
23512 MADERO
MISSION VIEJO, CA 92691-2743
Phone number: 949-583-1600
Mailing Address
Mr. GLENN PHILLIPS PA
17360 BROOKHURST ST ATTN: CREDENTIALING DEPARTMENT
FOUNTAIN VALLEY, CA 92708-3720
Phone number: 657-241-3592
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