Mark Edward Van Wormer

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NPI Number Detailed Information

Provider Information:

Name:	Mark Edward Van Wormer
Gender:	M
Provider License Number If Given:	81333

NPI Information:

NPI:	1013919034
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	8/10/2005
Last Update Date:	7/15/2009

Provider Business Mailing Address:

Address:	314 N 3RD AVE Clayton, NM 88415
Phone Number:	5753748313
Fax Number:	5753742064

Provider Business Practice Location Address:

Address:	314 N 3RD AVE Clayton, NM 88415
Phone Number:	5753748313
Fax Number:	5753742064

Provider Taxonomy:

Primary:	208D00000X
Secondary (if any):
State:	NM

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About Mark Edward Van Wormer

Mark Edward Van Wormer ( MARK EDWARD VAN WORMER ) is Definition General Practice Physician in Clayton, NM. The NPI Number for Mark Edward Van Wormer is 1013919034.

The current location address for Mark Edward Van Wormer is 314 N 3RD AVE Clayton, NM 88415 and the contact number is 5753748313 and fax number is 5753742064. The mailing address for Mark Edward Van Wormer is 314 N 3RD AVE Clayton, NM 88415- 5753748313 (mailing address contact number - 5753748313).

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FAQs:

What is the NPI Number for Mark Edward Van Wormer ?

Answer: The NPI Number for Mark Edward Van Wormer is 1013919034

Where is Mark Edward Van Wormer located?

Answer: Mark Edward Van Wormer is located at 314 N 3RD AVE Clayton, NM 88415.

What is the specialty for Mark Edward Van Wormer ?

Answer: The Specialty of Mark Edward Van Wormer is Definition General Practice Physician.

Are there any online reviews for Mark Edward Van Wormer ?

Answer: Not yet!

Are there any other health care providers in Clayton, NM?

Answer: Yes, there are given below...

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Mark Edward Van Wormer
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NPI Number: 1013919034
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