Organization
ANN S MERCER MD PA
Active
Organization
ANN S MERCER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN SHUKRI MERCER M.D. (PRESIDENT)
(505) 522-6900
Entity
Organization
Contact information
Practice address
2801 MISSOURI AVE STE 12, LAS CRUCES, NM 88011-5061
(505) 522-6900
(505) 522-8891
Mailing address
2801 MISSOURI AVE STE 12, LAS CRUCES, NM 88011-5061
(505) 522-6900
(505) 522-8891
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
84-79
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33407
—
NM
Enumeration date
08/05/2007
Last updated
12/06/2007
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