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Individual

DR. PHILLIP HERTZMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

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
(505) 662-2900

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
72-153
NM

Other

Enumeration date
09/28/2006
Last updated
07/08/2007
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