Mark D Antenucci Dpm Pc | |
313 W Country Club Rd, Suite 7, Roswell, NM 88201-5804 | |
(575) 624-2398 | |
(575) 624-0655 |
Full Name | Mark D Antenucci Dpm Pc |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 313 W Country Club Rd, Roswell, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548624372 | NPI | - | NPPES |
55657 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | Mark D Antenucci |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1760490759 PECOS PAC ID: 0446254346 Enrollment ID: I20061010000738 |
Mailing Address | Practice Location Address |
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Mark D Antenucci Dpm Pc 313 W Country Club Rd, Suite 7, Roswell, NM 88201-5804 Ph: (575) 624-2398 | Mark D Antenucci Dpm Pc 313 W Country Club Rd, Suite 7, Roswell, NM 88201-5804 Ph: (575) 624-2398 |
Jeffrey Ash, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 300 W Country Club Rd Ste 130, Roswell, NM 88201 Phone: 575-625-2669 Fax: 575-625-1296 | |
Dr. Mark David Antenucci, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 313 West Country Club Rd., Ste. 7, Roswell, NM 88201 Phone: 575-624-2398 Fax: 575-624-0655 |