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Individual

DR. MARY LYNNE REUSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4600 MONTGOMERY BLVD NE # A, SUITE 101, ALBUQUERQUE, NM 87109-1210
(505) 884-9687
(505) 884-9688
Mailing address
PO BOX 2160, CORRALES, NM 87048-2160
(505) 884-9687
(505) 884-9688

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
122409-1
NY
207V00000X
Obstetrics & Gynecology Physician
2003 0502
NM
207V00000X
Obstetrics & Gynecology Physician
G33665
CA
207VM0101X
Maternal & Fetal Medicine Physician
2003-0502
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
009L79
BCBS PROVIDER NO.
NM
01
00NM009L79
HMO NEW MEXICO BCBS
NM
05
53157532
NM
01
900117328 87109 A001
TRICARE HEALTH PLAN
NM
01
900117328-006
CIGNA HEALTH PLAN
NM
01
P-12036477
MULTIPLAN HEALTH PLAN
NM
Enumeration date
11/15/2006
Last updated
09/11/2025
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