Individual
MARK EVANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7601 JEFFERSON ST NE, SUITE 340, ALBUQUERQUE, NM 87109-4494
(505) 338-3851
(505) 338-3859
Mailing address
3428 STATE HIGHWAY 47, SUITE C, LOS LUNAS, NM 87031-8271
(505) 565-2817
(505) 565-2411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A87488
NM
Other
Enumeration date
07/13/2006
Last updated
04/03/2015
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