| NPI | 1538343355 |
|---|---|
| Other Name | DR. TERRY T MARQUARDT |
| Entity Type | Organization |
| Authorized Contact | TERRY TYRONE MARQUARDT Owner 575-437-7783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NM 233) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2010-08-05 |