Provider Demographics
NPI:1235326489
Name:FRANCIS, PHILLIP (CP)
Entity Type:Individual
Prefix:
First Name:PHILLIP
Middle Name:
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6600 COYLE AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-6312
Mailing Address - Country:US
Mailing Address - Phone:916-863-9494
Mailing Address - Fax:
Practice Address - Street 1:6600 COYLE AVE STE 2
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-6312
Practice Address - Country:US
Practice Address - Phone:916-863-9494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-02
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist