Mr. Michael Kenneth Phillips, IDC
Mr. Michael Kenneth Phillips, IDC is an Independent Duty Corpsman in Oceanside, California. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
623 Pusan DrOceanside, CA 92058-8149
Phone: (847) 912-8212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1790035707 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | No |
| NPI enumerated | September 17, 2012 |
| Last updated in NPPES | May 1, 2013 |
| Mailing address | 623 Pusan Dr, Oceanside, CA 92058-8149 |
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