Individual
DR. MARJAN MARCELA HOVAIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
DR.0060156
CO
207RG0100X
Gastroenterology Physician
Primary
MD2017-0077
NM
390200000X
Student in an Organized Health Care Education/Training Program
RS2015-0475
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028915
KAISER COMMERCIAL NUMBER
CO
05
—
9000163828
—
CO
Enumeration date
08/11/2011
Last updated
12/30/2024
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