Anderson, Mark Spencer

Anderson, Mark Spencer is an sole proprietor health care provider with primary practice located at 101 Hospital Loop Ne Ste 201 , Albuquerque NM 87109-2128. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Anderson, Mark Spencer can be contacted via phone (505) 727-4430.

Contact Information

Primary practice address
101 Hospital Loop Ne Ste 201 Albuquerque NM 87109-2128
Phone: (505) 727-4430
Fax: (505) 727-9401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD2019-0224 New Mexico
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X RS2018-0355 New Mexico
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X MD2019-0224 New Mexico

Profile Details

NPI number 1821357179
LBN Legal business name Anderson, Mark Spencer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2012
Last updated Jan 23rd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821357179 NPPES
New Mexico MEDICAID 48476854

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