Individual
JOHN PATRICK PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1127 UNIVERSITY BLVD NE, CARRIE TINGLEY HOSPITAL, ALBUQUERQUE, NM 87102-1740
(505) 272-5200
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
87-273
NM
Other
Enumeration date
08/02/2006
Last updated
10/07/2024
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