Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK EDWARD VAN WORMER, MD
ActiveMARK EDWARD VAN WORMER, MD is a General Practice healthcare provider located in CLAYTON, New Mexico. NPI 1013919034 is currently active in the NPPES registry. Verify at CMS.
General Practice · CLAYTON, NM
Registration Details
- NPI Number
- 1013919034
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2005 (21.043805757787 yrs)
- Last Updated
- Jul 15, 2009
- License
-
81333 (NM)
Practice Information
- Address
-
314 N 3RD AVECLAYTON, NM, 884153302Browse NM providers · Browse ZIP 88415
- Phone
- 5753748313
- Fax
- 5753742064
- Primary Specialty
-
General Practice
208D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.