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Organization

PEDS TOTS TO TEENS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. USHA PHILLIPS MD (OWNER)
(575) 259-3785
Entity
Organization

Contact information

Practice address
1180 MALL DR, LAS CRUCES, NM 88011-8101
(575) 259-3785
(575) 532-9221
Mailing address
1180 MALL DR, LAS CRUCES, NM 88011-8101
(575) 259-3785
(575) 532-9221

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2080P0208X
Pediatric Infectious Diseases Physician

Other

Enumeration date
05/11/2023
Last updated
09/28/2023
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