Provider Demographics
NPI:1518300151
Name:PHILLPOTTS, MARC ERROL (MD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:ERROL
Last Name:PHILLPOTTS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:21832 CACTUS AVE.
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92518
Mailing Address - Country:US
Mailing Address - Phone:951-924-6500
Mailing Address - Fax:855-306-0135
Practice Address - Street 1:SOUTHLAND ARTHRITIS AND OSTEOPOROSIS MEDICAL CENTER
Practice Address - Street 2:31515 RANCHO PUEBLO RD. #203
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592
Practice Address - Country:US
Practice Address - Phone:951-303-1500
Practice Address - Fax:855-306-0135
Is Sole Proprietor?:No
Enumeration Date:2013-04-13
Last Update Date:2021-01-27
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Provider Licenses
StateLicense IDTaxonomies
WAA168762207RR0500X
DCMD044077207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology