Individual
MARISA E. HATTORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1234
Mailing address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 291-2402
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD-22455
HI
207R00000X
Internal Medicine Physician
Primary
MD2020-0295
NM
Other
Enumeration date
03/24/2016
Last updated
02/26/2026
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