Individual
MICHAEL DAVID MARX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 846-3200
Mailing address
7108 CANARY LN NE, ALBUQUERQUE, NM 87109-6006
(940) 337-6577
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/18/2012
Last updated
03/18/2021
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