Individual
DR. MARVIN ANTONIO PORFIRO SISON DUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4495
(505) 842-8171
Mailing address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4495
(505) 842-8171
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
242096
MA
207RH0003X
Hematology & Oncology Physician
MD2016-0099
NM
208M00000X
Hospitalist Physician
016621A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200934840
—
IN
05
—
76806057
—
NM
Enumeration date
09/12/2008
Last updated
05/10/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us