Organization
MARK SEREDOWYCH, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GEORGE SEREDOWYCH MD (OWNER)
(505) 982-4276
Entity
Organization
Contact information
Practice address
1650 HOSPITAL DR, SUITE 200, SANTA FE, NM 87505-4769
(505) 982-4276
(505) 983-7571
Mailing address
1650 HOSPITAL DR, SUITE 200, SANTA FE, NM 87505-4769
(505) 982-4276
(505) 983-7571
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2000-289
NM
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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