Individual
MARK EDWARD POLHEMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
715 DR MARTIN LUTHER KING JR AVE NE STE 201, ALBUQUERQUE, NM 87102-3667
(505) 727-3020
(505) 727-9590
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
(505) 727-9590
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
261872
NY
207RI0200X
Infectious Disease Physician
Primary
MD2022-1151
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03368756
—
NY
Enumeration date
02/05/2010
Last updated
10/09/2024
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