Phillips Podiatry Corp.

NPI #1235350695 in Palm Desert, California

Provider Information

NPI Number: 1235350695
Entity Type: Organization
Organization Name: Phillips Podiatry Corp.
Primary Specialty: Podiatrist
Enumeration Date: May 2, 2007
Last Updated: Dec 9, 2010

Practice Location

Address: 74090 EL PASEO STE 100
City: Palm Desert
State: California
ZIP Code: 92260-4135
Phone: (760) 773-3338

Authorized Official

Name: DR. KENNETH KAHLE PHILLIPS JR., DPM
Title: OWNER
Phone: (760) 773-3338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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