Individual
MARLENE G BYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3605 ENGLISH RD, FARMINGTON, NM 87402-8303
(505) 326-4383
(505) 325-1925
Mailing address
PO BOX 15160, FARMINGTON, NM 87401-5160
(505) 324-2258
(505) 324-2259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2000-151
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E4304
—
NM
Enumeration date
07/13/2006
Last updated
06/26/2013
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