Individual
MARC FLITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
407 S SCHWARTZ AVE, SUITE 202, FARMINGTON, NM 87401-5925
(505) 609-6580
(505) 609-6579
Mailing address
PO BOX 6210, FARMINGTON, NM 87499-6210
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2001-190
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000B0165
—
NM
Enumeration date
07/08/2006
Last updated
05/01/2013
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