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Individual

DR. MARIO TOLEDO-COURET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2420 W PIERCE ST STE 105, CARLSBAD, NM 88220-3518
(575) 628-8852
(575) 628-8856
Mailing address
2420 W PIERCE ST STE 105, CARLSBAD, NM 88220-3518
(575) 628-8852
(575) 628-8856

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301062524
MI
207V00000X
Obstetrics & Gynecology Physician
MD2012-0088
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
15537773
NM
05
2968382
MI
05
4970432
MI
Enumeration date
08/09/2006
Last updated
09/10/2020
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