DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK DAVID ANTENUCCI, D.P.M

Active

DR. MARK DAVID ANTENUCCI, D.P.M is a Podiatrist healthcare provider located in ROSWELL, New Mexico. NPI 1760490759 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · ROSWELL, NM

Registration Details

NPI Number
1760490759
Provider Type
Individual
Gender
Male
NPI Issued
Aug 4, 2006 (19.987585999667 yrs)
Last Updated
Jun 24, 2009
License
184 (NM)

Practice Information

Address
313 WEST COUNTRY CLUB RD.
STE. 7
ROSWELL, NM, 88201
Browse NM providers · Browse ZIP 88201
Phone
5756242398
Fax
5756240655
Primary Specialty
Podiatrist
213E00000X

Other Podiatrist Providers in ROSWELL, NM

Name Credential NPI
JEFFREY ASH D.P.M. 1235149196
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.