Provider Demographics
NPI:1710229638
Name:CAMP, PHILLIP J (MD)
Entity Type:Individual
Prefix:
First Name:PHILLIP
Middle Name:J
Last Name:CAMP
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:INTERNAL MEDICINE MSC10 5550
Mailing Address - Street 2:1 UNIVERSITY OF NEW MEXIC
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87131-0001
Mailing Address - Country:US
Mailing Address - Phone:505-272-6331
Mailing Address - Fax:505-272-4628
Practice Address - Street 1:INTERNAL MEDICINE MSC10 5550
Practice Address - Street 2:1 UNIVERSITY OF NEW MEXIC
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-0001
Practice Address - Country:US
Practice Address - Phone:505-272-6331
Practice Address - Fax:505-272-4628
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-18
Last Update Date:2020-04-17
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Provider Licenses
StateLicense IDTaxonomies
NMMD2018-0172207RC0000X
NMRS2013-0346390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program