Phillip, Madonna Petula
Phillip, Madonna Petula is an individual health care provider with primary practice located at 4311 E Lohman Ave Mountain View Regional Medical Center, Las Cruces NM 88011. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Phillip, Madonna Petula can be contacted via phone (575) 556-7600.Contact Information
Primary practice address
4311 E Lohman Ave Mountain View Regional Medical Center
Las Cruces NM 88011
Phone: (575) 556-7600
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD2022-1497 | New Mexico |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD2022-1497 | New Mexico |
Profile Details
NPI number | 1306474408 |
---|---|
LBN Legal business name | Phillip, Madonna Petula |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 1st, 2020 |
Last updated | Dec 22nd, 2023 - about 2 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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