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Individual

MARY POEL

Active
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Individual

MARY POEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
81-290
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10002116
LOVELACE HEALTH/SALUD
NM
05
228719
AZ
05
7849
NM
01
85031326887301A165
CHAMPUS
NM
01
NM002153
BCBS
NM
01
PROVP15475
MOLINA
NM
Enumeration date
02/02/2006
Last updated
07/09/2007
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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