Individual
DR. MARK HAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
8080 ACADEMY RD NE STE C, ALBUQUERQUE, NM 87111-1159
(505) 247-4164
Mailing address
8080 ACADEMY RD NE STE C, ALBUQUERQUE, NM 87111-1159
(505) 247-4164
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
136
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16483
PRESBYTERIAN PIN
NM
05
—
54304
—
NM
01
—
NM005346
BLUE CROSS PIN
NM
Enumeration date
07/05/2005
Last updated
03/08/2010
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