Organization
DR. PHIL PEDIATRICS, P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALIE PERKINS (OFFICE MANAGER)
(505) 994-3256
Entity
Organization
Contact information
Practice address
4111 BARBARA LOOP SE STE A, RIO RANCHO, NM 87124-1068
(505) 994-3256
(866) 967-7905
Mailing address
4111 BARBARA LOOP SE STE A, RIO RANCHO, NM 87124-1068
(505) 994-3256
(866) 967-7905
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
86-266
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437159993
INDIVIDUAL NPI
—
05
—
30197
—
NM
Enumeration date
10/03/2008
Last updated
05/06/2019
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