Individual
MARK SPENCER ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 HOSPITAL LOOP NE STE 201, ALBUQUERQUE, NM 87109-2128
(505) 727-4430
(505) 727-9401
Mailing address
101 HOSPITAL LOOP NE STE 201, ALBUQUERQUE, NM 87109-2128
(505) 727-5443
(505) 727-9401
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD2019-0224
NM
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD2019-0224
NM
390200000X
Student in an Organized Health Care Education/Training Program
RS2018-0355
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48476854
—
NM
Enumeration date
05/08/2012
Last updated
01/23/2020
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