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1245320001
PHILLIP WILLIE TAN POLIDO
ANTIOCH, CA
NPI
1245320001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: CA A32794)
Enumeration Date
2006-10-13
Last Update Date
2021-02-12
Business Address
PHILLIP WILLIE TAN POLIDO M.D
2350 COUNTRY HILLS DR STE A
ANTIOCH, CA 94509-7436
Phone number: 925-757-0800
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Mailing Address
PHILLIP WILLIE TAN POLIDO M.D
2350 COUNTRY HILLS DR STE A
ANTIOCH, CA 94509-7436
Phone number: 925-757-0800
Copy
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