Davis, Phillip Roman

Davis, Phillip Roman is an individual health care provider with primary practice located at 455 Saint Michaels Dr , Santa Fe NM 87505-7601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pharmacology, which is considered as his primary health care specialty. Davis, Phillip Roman can be contacted via phone (505) 913-5707.

Contact Information

Primary practice address
455 Saint Michaels Dr Santa Fe NM 87505-7601
Phone: (505) 913-5707
Fax: (505) 913-6452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pharmacology 208U00000X RP00008957 New Mexico

Profile Details

NPI number 1508419623
LBN Legal business name Davis, Phillip Roman
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2019
Last updated Jul 17th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508419623 NPPES
New Mexico Other RP00008957 PHARMACIST LICENSE NUMBER

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