Individual
DR. PHILIP JAMES VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 256-5772
Mailing address
1420 STAGECOACH LN SE, ALBUQUERQUE, NM 87123-4429
(505) 265-1711
(505) 256-5772
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
76-283
NM
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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