PHILLIP M. COLBERT, MD,, A MEDICAL CORPORATION
Osteopathic Medicine at Casa St, San Luis Obispo, CA

License number
California C35295
Category
Osteopathic Medicine
Type
Gastroenterology
Owner
Name: DR. PHILLIP M COLBERT MD
Title: PHYSICIAN
Phone: (805) 541-6080
Address
Address
77 Casa St STE 108, San Luis Obispo, CA 93405
National Provider ID: 1790822252
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHILLIP M. COLBERT, M.D., A MEDICAL CORPORATION

77 Casa St #108, San Luis Obispo, CA 93405

Status:
Inactive
Registration:
Jan 11, 1980
State ID:
C0972465
Business type:
Articles of Incorporation
President:
Phillip M. Colbert (President)
Agent:
Md Phillip M. Colbert,San Luis Obispo, CA 93405 (Physical)

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