Organization · Type 2 NPI

Phc-Los Alamos Inc

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

NPI number 1023147097 Active

Practice location

3917 West Rd
Los Alamos, NM 87544-2275

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-4536

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004XNone listed
Medical Oncology Physician 207RX0202XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Diagnostic Radiology Physician 2085R0202XNone listed
Surgery Physician 208600000XNone listed
Urology Physician 208800000XNone listed

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

71 other providers at this address

About NPI 1023147097

Phc-Los Alamos Inc's National Provider Identifier is 1023147097, issued on Mar 5, 2007. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Los Alamos, NM. The record was last updated on Apr 25, 2022.