Individual
MARY K FOUCAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 WOODWARD PL NE, ALBUQUERQUE, NM 87102-2705
(505) 939-8458
(505) 938-8414
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
85-30
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14837
—
NM
Enumeration date
08/01/2006
Last updated
02/18/2025
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