| Doctor Name: | DR. ROXANNA PHILLIPS |
| NPI Number: | 1740515311 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | MD2012-0533 |
| Business Practice Address: | 518 N Date St Truth Or Consequences, NM - 879012346 |
| Business Phone Number: | 5758945594 |
| Business Fax Number: | 5758945595 |
| Mailing Address: | 518 N Date St, TRUTH OR CONSEQUENCES |
| State: | NM |
| Postal Code: | 879012346 |
| Phone Number: | 5758945594 |
| Fax Number: | 5758945595 |
| NPI Enumeration Date: | 10/14/2009 |
| NPI Last Update Date: | 01/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD2012-0533 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |