Anderson, Mark Allo

Anderson, Mark Allo is an individual health care provider with primary practice located at 40 Campo Rd , Tijeras NM 87059-7615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, Mark Allo can be contacted via phone (505) 610-5421.

Contact Information

Primary practice address
40 Campo Rd Tijeras NM 87059-7615
Phone: (505) 610-5421
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301078206 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 45131-020 Wisconsin

Profile Details

NPI number 1861494866
LBN Legal business name Anderson, Mark Allo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Nov 26th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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