Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | G85910 | CA |
NPI | 1013955657 |
---|---|
Provider Name | Dr. Phillip R Filbrandt |
First Address | Chico, CA 95926-7235 |
Second Address | Chico, CA 95926-7238 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2006 |
Last Update Date | 17/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
BF1531258 | DEA (01) | CA |
C03382 | (02) | CA |