NPI | 1275854465 |
---|---|
Other Name | CHIP FILLINGANE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2016039415) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-8941) |
207Q00000X Family Medicine (Licence: TX P7438) | |
Enumeration Date | 2010-06-22 |
Last Update Date | 2021-05-07 |