Whalio Doctors

NPI 1023147097

Phc-Los Alamos INC

Organisation Emergency Medical Services (Emergency Medicine) Physician Los Alamos, NM

Practice location

Address
3917 West Rd, Los Alamos, NM 87544-2275
Phone
(505) 662-3452
Mailing address
330 Seven Springs Way, Brentwood, TN 37027-4536

Authorised official

Name
Terrance Dillon
Title
Assistant Secretary
Phone
(502) 596-7220

Registered specialties (6)

Emergency Medical Services (Emergency Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207PE0004X
Medical Oncology Physician
Allopathic & Osteopathic Physicians Taxonomy 207RX0202X
Obstetrics & Gynecology Physician
Allopathic & Osteopathic Physicians Taxonomy 207V00000X
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X
Urology Physician
Allopathic & Osteopathic Physicians Taxonomy 208800000X

Registry record

NPI
1023147097
Entity type
Organization
NPI issued
5 Mar 2007
Record last updated
25 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.