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Individual

ROBERT E MARKWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1204 US HIGHWAY 60 WEST, SOCORRO GENERAL MEDICAL GROUP, SOCORRO, NM 87801
(575) 838-4690
(575) 838-4689
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
81-83
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
17434
NM
Enumeration date
08/19/2005
Last updated
08/15/2008
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