Organization
LOS ALAMOS FAMILY PRACTICE P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP ALAN HERTZMAN M.D. (PRESIDENT)
(505) 662-2900
Entity
Organization
Contact information
Practice address
3917 WEST RD, SUITE 130, LOS ALAMOS, NM 87544-2275
(505) 662-2900
Mailing address
3917 WEST RD, SUITE 130, LOS ALAMOS, NM 87544-2275
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
04/11/2007
Last updated
11/01/2007
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