Organization
MARANLLC
Active
Other names
medicus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREI V MARCHENKO CNP (PHISICIAN)
(505) 234-1040
Entity
Organization
Contact information
Practice address
10401 MONTGOMERY PKWY NE, ALBUQUERQUE, NM 87111-3876
(505) 234-1040
(505) 293-7183
Mailing address
10401 MONTGOMERY PKWY NE, ALBUQUERQUE, NM 87111-3876
(505) 234-1040
(505) 293-7183
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
CNP01745
NM
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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