Standley, Mark Amba

Standley, Mark Amba is an individual health care provider with primary practice located at 111 W Hobbs St , Roswell NM 88203-1869. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Standley, Mark Amba can be contacted via phone (575) 623-3311.

Contact Information

Primary practice address
111 W Hobbs St Roswell NM 88203-1869
Phone: (575) 623-3311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2018-0080 New Mexico

Profile Details

NPI number 1114445590
LBN Legal business name Standley, Mark Amba
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2017
Last updated Mar 25th, 2019 - about 5 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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