Organization
MARK D. ERASMUS, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK D ERASMUS M.D. (PRESIDENT)
(505) 242-1711
Entity
Organization
Contact information
Practice address
700 LOMAS BLVD NE, THREE WOODWARD CENTER, ALBUQUERQUE, NM 87102-2568
(505) 242-1711
(505) 242-0189
Mailing address
700 LOMAS BLVD NE, THREE WOODWARD CENTER, ALBUQUERQUE, NM 87102-2568
(505) 242-1711
(505) 242-0189
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
79-29
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37762
—
NM
01
—
NM029176
BLUE CROSS BLUE SHIELD NM
NM
Enumeration date
08/10/2006
Last updated
08/22/2020
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