Provider Demographics
NPI:1285716050
Name:PHILLIPS, CHRISTOPHER RYAN (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:RYAN
Last Name:PHILLIPS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34800 BOB WILSON DR STE 1
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92134-1001
Mailing Address - Country:US
Mailing Address - Phone:619-380-3028
Mailing Address - Fax:619-532-8663
Practice Address - Street 1:34800 BOB WILSON DR STE 1
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134-1001
Practice Address - Country:US
Practice Address - Phone:619-380-3028
Practice Address - Fax:619-532-8663
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101242343207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine