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Contact Information

TRACY T. PHILLIPS, MD, MEDICAL CORPORATION
2089 VALE ROAD
SUITE 10
SAN PABLO, CA94806
 Phone: 510-234-4235
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for TRACY T PHILLIPS MD MEDICAL CORPORATION · (Female)

NPI # 1316031818
Status Active
Credentials
Entity Individual
Enumeration date 10/02/2006
Last updated 01/21/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A84062
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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