Individual
MARCUS D PRIESKOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT-P
Contact information
Practice address
11 CALLE MEDICO STE 3, SANTA FE, NM 87505-4705
(505) 634-5585
Mailing address
11 CALLE MEDICO STE 3, SANTA FE, NM 87505-4705
(505) 634-5585
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
12000798
NM
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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