Individual
DR. PHILLIP ROMAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 913-5707
(505) 913-6452
Mailing address
1033 GIRARD BLVD NE, ALBUQUERQUE, NM 87106-2014
(262) 501-1907
Taxonomy
Speciality
Code
Description
License number
State
208U00000X
Clinical Pharmacology Physician
Primary
RP00008957
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP00008957
PHARMACIST LICENSE NUMBER
NM
Enumeration date
07/17/2019
Last updated
07/17/2019
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