Individual
MS. MADONNA PETULA PHILLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4311 E LOHMAN AVE, MOUNTAIN VIEW REGIONAL MEDICAL CENTER, LAS CRUCES, NM 88011
(575) 556-7600
Mailing address
4311 E LOHMAN AVE, LAS CRUCES, NM 88011-8255
(575) 556-7600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD2022-1497
NM
208M00000X
Hospitalist Physician
Primary
MD2022-1497
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2020
Last updated
12/22/2023
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