W. BLAINE PHILLIPS, M.D., INC.
Osteopathic Medicine at Santa Fe Dr, Encinitas, CA

License number
California G48666
Category
Osteopathic Medicine
Type
Endocrinology, Diabetes & Metabolism
Owner
Name: CANDACE IRONS
Title: OFFICE MANAGER
Phone: (760) 943-1923
Address
Address
310 Santa Fe Dr SUITE 111, Encinitas, CA 92024
National Provider ID: 1427249820
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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W. BLAINE PHILLIPS, M.D., INC

310 Santa Fe Dr #111, Encinitas, CA 92024

Status:
Inactive
Registration:
Jun 11, 2001
State ID:
C2283188
Business type:
Articles of Incorporation
President:
W. Blaine Phillips President, inactive
Agent:
W Blaine Phillips,Encinitas, CA 92024 (Physical)

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