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Individual

DR. MARK LEROY ANDREWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
111 W. HOBBS ST., ROSWELL, NM 88203-1869
(575) 623-3311
(575) 622-1273
Mailing address
111 W HOBBS ST, ROSWELL, NM 88203-1869
(575) 623-3311
(575) 622-1273

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
99-155
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00078991
NM
Enumeration date
09/21/2006
Last updated
06/22/2015
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