Individual
MARK HIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
622 W MAPLE ST, STE B, FARMINGTON, NM 87401-6590
(505) 327-4867
Mailing address
622 W MAPLE ST, STE B, FARMINGTON, NM 87401-6589
(505) 327-4867
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
A-1969-16
NM
Other
Enumeration date
06/01/2012
Last updated
04/06/2017
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