Los Alamos Family Practice P a
NPI #1285857664 in Los Alamos, New Mexico
Provider Information
- NPI Number
- 1285857664
- Entity Type
- Organization
- Organization Name
- Los Alamos Family Practice P a
- Primary Specialty
- Family Medicine - Adult Medicine
- Enumeration Date
- Apr 11, 2007
- Last Updated
- Nov 1, 2007
Practice Location
- Address
- 3917 WEST RD
- Address 2
- SUITE 130
- City
- Los Alamos
- State
- New Mexico
- ZIP Code
- 87544-2275
- Phone
- (505) 662-2900
Authorized Official
- Name
- DR. PHILLIP ALAN HERTZMAN, M.D.
- Title
- PRESIDENT
- Phone
- (505) 662-2900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Adult Medicine — Adult Medicine |
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