Individual
MR. MARK W MENARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
435 SAINT MICHAELS DR, SANTA FE, NM 87505-7672
(505) 982-8860
(505) 989-7204
Mailing address
63 BROWN CASTLE RNCH, SANTA FE, NM 87508-1302
(505) 471-0307
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1076
NM
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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