Phillip Willie Tan Polido, M.D

NPI #1245320001 in Antioch, California

Provider Information

NPI Number: 1245320001
Entity Type: Individual
Name: Phillip Willie Tan Polido, M.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: M.D
Enumeration Date: Oct 13, 2006
Last Updated: Feb 12, 2021

Practice Location

Address: 2350 COUNTRY HILLS DR STE A
City: Antioch
State: California
ZIP Code: 94509-7436
Phone: (925) 757-0800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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