Individual
DR. MARJORIE PATRICIA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8300 CONSTITUTION AVE NE BLDG D, ALBUQUERQUE, NM 87110
(505) 291-2200
Mailing address
PO BOX 26666, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2017-1057
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98550021
—
NM
Enumeration date
11/21/2005
Last updated
09/18/2019
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