Organization
LOS ALAMOS PHYSICIAN PRACTICES, LLC
Active
Other names
Los Alamos General Surgery Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MANGUM (DIRECTOR)
(505) 521-5277
Entity
Organization
Contact information
Practice address
3917 WEST RD, #125, LOS ALAMOS, NM 87544-2275
(505) 661-3030
Mailing address
PO BOX 129, LOS ALAMOS, NM 87544-0129
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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