Philip S Shore, MD
NPI #1295750529 in Northridge, California
Provider Information
- NPI Number
- 1295750529
- Entity Type
- Individual
- Name
- Philip S Shore, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Jul 13, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 18546 ROSCOE BLVD
- Address 2
- SUITE 230
- City
- Northridge
- State
- California
- ZIP Code
- 91324-4663
- Phone
- (818) 886-1100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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