Phc-Los Alamos INC
NPI #1023147097 in Los Alamos, New Mexico
Provider Information
- NPI Number
- 1023147097
- Entity Type
- Organization
- Organization Name
- Phc-Los Alamos INC
- Primary Specialty
- Emergency Medicine - Emergency Medical Services
- Enumeration Date
- Mar 5, 2007
- Last Updated
- Apr 25, 2022
Practice Location
- Address
- 3917 WEST RD
- City
- Los Alamos
- State
- New Mexico
- ZIP Code
- 87544-2275
- Phone
- (505) 662-3452
Authorized Official
- Name
- TERRANCE DILLON
- Title
- ASSISTANT SECRETARY
- Phone
- (502) 596-7220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Medical Oncology — Medical Oncology |
| Obstetrics & Gynecology |
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
| Surgery |
| Urology |
| Emergency Medicine - Emergency Medical Services — Emergency Medical Services |
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