Mara Renee Archambault MD

NPI 1023157021 - Internal Medicine - 207R00000X

NPI Details
NPI 1023157021
Gender Female
Enumeration Date 02/06/2007
Last Updated 10/02/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
4351 E LOHMAN AVE
SUITE 310
LAS CRUCES NM, 88011-8259, US
Phone (575) 521-4808
Fax (575) 521-4815
Business Location
4351 E LOHMAN AVE
SUITE 310
LAS CRUCES NM, 88011-8259, US
Phone (575) 521-4808
Fax (575) 521-4815
Toxanomy
Taxonomy Code 207R00000X
License State New Mexico
License Number MD2008-0205
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According to our database, Dr. Mara Renee Archambault MD NPI is 1023157021, taxonomy code is 207R00000X and license number is MD2008-0205, license state is located at New Mexico. Mara Renee Archambault MD physically located at 4351 E Lohman Ave, Las Cruces NM, 88011-8259. NPI Number Mara Renee Archambault MD has the Individual type.

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1023157021 NPI number is provided on an as is basis without warranty of any kind. 1023157021 is maintained by the National Plan & Provider Enumeration System. The contents of Mara Renee Archambault MD are for informational purposes only.