Individual
MR. THOMAS EDWARD MARINSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
6100 PAN AMERICAN FWY NE, SUITE 420, ALBUQUERQUE, NM 87109
(505) 823-8170
(505) 823-8175
Mailing address
6100 PAN AMERICAN FWY NE, SUITE 420, ALBUQUERQUE, NM 87109
(505) 823-8170
(505) 823-8175
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22384
—
NM
01
—
NM002232
BLUE CROSS BLUE SHIELD
NM
Enumeration date
01/19/2007
Last updated
07/08/2007
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