Individual
MARK ANTHONY BELILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1101 MEDICAL ARTS AVE NE, ALBUQUERQUE, NM 87102-2706
(505) 272-2273
Mailing address
PO BOX 1094, PLACITAS, NM 87043-1094
(505) 515-5714
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
PA2019-0103
NM
Other
Enumeration date
11/20/2019
Last updated
05/26/2023
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