MARK A STANDLEY

CLOVIS, NM
NPI1114445590
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NM  PA2018-0080)
Enumeration Date2017-09-06
Last Update Date2025-04-08
Business Address
MARK A STANDLEY PA-C
2200 W 21ST ST SAME DAY CARE CLINIC - CLOVIS
CLOVIS, NM 88101-2011
Phone number: 505-769-7577
Mailing Address
MARK A STANDLEY PA-C
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number:
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