MARK VAN WORMER, MD
General Practice
Active
Individual
NPI: 1013919034
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| General Practice | 208D00000X | Yes | 81333 (NM) |
Frequently Asked Questions
NPI 1013919034 is the National Provider Identifier for MARK VAN WORMER, MD, a General Practice provider located in Clayton, NM. This NPI was enumerated on August 10, 2005.
MARK VAN WORMER, MD practices at 314 N 3RD AVE, Clayton, NM 88415.
Quick Facts
- NPI
- 1013919034
- Type
- Individual
- Enumerated
- Aug 10, 2005
- Last Updated
- Jul 15, 2009
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