HEATHER ELLEN MARANCENBAUM

RUIDOSO, NM
NPI1528073384
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NM  MD2015-0170)
Additional Taxonomies207Q00000X Family Medicine
(Licence: OK  24957)
Enumeration Date2006-07-30
Last Update Date2023-10-02
Business Address
Dr. HEATHER ELLEN MARANCENBAUM M.D.
211 SUDDERTH DR
RUIDOSO, NM 88345-6002
Phone number: 575-257-8200
Mailing Address
Dr. HEATHER ELLEN MARANCENBAUM M.D.
PO BOX 26666 PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770