Individual
MIKE T PHALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
1918 HOPEWELL ST, SANTA FE, NM 87505-3856
(505) 989-4400
(505) 989-4404
Mailing address
1918 HOPEWELL ST, SANTA FE, NM 87505-3856
(505) 989-4400
(505) 989-4404
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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