Individual
MARK D ERASMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 WALTER ST NE STE 401, ALBUQUERQUE, NM 87102
(505) 727-5910
(505) 727-5939
Mailing address
4101 INDIAN SCHOOL RD NE STE 110, ALBUQUERQUE, NM 87110-3991
(505) 727-5910
(505) 727-5939
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
79-29
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35087218
—
NM
Enumeration date
07/26/2006
Last updated
07/08/2019
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