Individual
ANTONIO ALEXANDRO BENJAMIN MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3200 BROADMOOR BLVD NE, RIO RANCHO, NM 87144-2105
(505) 272-4107
(505) 272-8098
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2022-0095
NM
Other
Enumeration date
01/07/2021
Last updated
09/13/2024
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