Individual
DR. MARK LYNN UNRUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MSC 10 5550, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-4750
(505) 272-2349
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
(505) 272-2349
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD2012-0626
NM
207RN0300X
Nephrology Physician
Primary
MD2012-0626
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001901807
—
PA
Enumeration date
02/24/2006
Last updated
10/29/2024
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