Organization
MARK D. BEALE, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DANIEL BEALE II MD (PRESIDENT CEO)
(575) 680-2084
Entity
Organization
Contact information
Practice address
1615 NORTH SOLANO, SUITE A, LAS CRUCES, NM 88001
(575) 680-2684
(575) 680-2655
Mailing address
1615 NORTH SOLANO, SUITE A, LAS CRUCES, NM 88001
(575) 680-2684
(575) 680-2655
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
93208
NM
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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