Individual
DR. MARTY DALE SURFACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, FNP-BC, ACHPN
Contact information
Practice address
RAYMOND G. MURPHY DEPT OF VETERANS AFFAIRS MC, 1501 SAN PEDRO DRIVE SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 256-6414
Mailing address
RAYMOND G. MURPHY DEPT OF VETERANS AFFAIRS MC, 1501 SAN PEDRO DRIVE SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 256-6414
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201250206NP
OR
363LF0000X
Family Nurse Practitioner
75910
NM
Other
Enumeration date
08/01/2006
Last updated
12/31/2024
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