Individual
JOSHUA SAMUEL MARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO, DEPARTMENT OF EMERGENCY MEDICINE MSC11 6025, ALBUQUERQUE, NM 87131
(505) 272-5062
Mailing address
3100 N TENAYA WAY, GRADUATE MEDICAL EDUCATION, LAS VEGAS, NV 89128-0431
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
010747
AZ
207P00000X
Emergency Medicine Physician
Primary
DO2024-0047
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2021
Last updated
07/12/2024
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