| NPI | 1598064636 |
|---|---|
| Professional Name | CHARLES PHILLIPS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 59582) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA AFE29567) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |