Individual
DR. PHILIP J. LAVALLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
5005 N PIEDRAS ST, WBAMC, ATTN: CREDENTIALS, MS ANA RODRIGUEZ, EL PASO, TX 79920-5001
(915) 569-1386
(915) 569-4890
Mailing address
5005 N PIEDRAS ST, WBAMC, ATTN: CREDENTIALS, MS ANA RODRIGUEZ, EL PASO, TX 79920-5001
(915) 569-1386
(915) 569-4890
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
7673
MT
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
7673
MT
208D00000X
General Practice Physician
7673
MT
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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