MARK PHILLIPS

EMERYVILLE, CA
NPI1114167814
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA17702)
Enumeration Date2009-02-20
Last Update Date2013-04-03
Business Address
-- MARK PHILLIPS
1335 STANFORD AVE
EMERYVILLE, CA 94608-2536
Phone number: 510-647-5101
Mailing Address
-- MARK PHILLIPS
1335 STANFORD AVE
EMERYVILLE, CA 94608-2536
Phone number: 510-647-5101
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