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1922018712
PHILLIP WILLIAM CARMODY
ALBUQUERQUE, NM
NPI
1922018712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: NM 7415)
Enumeration Date
2006-08-08
Last Update Date
2013-09-03
Business Address
-- PHILLIP WILLIAM CARMODY MD
10400 ACADEMY RD NE #230
ALBUQUERQUE, NM 87111-1229
Phone number: 505-298-1558
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Mailing Address
-- PHILLIP WILLIAM CARMODY MD
8906 BROCK LN NE
ALBUQUERQUE, NM 87122-3753
Phone number: 505-858-0716
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