Whalio Doctors

NPI 1043571458

Mark Himes, DO

Practitioner Sports Medicine (Family Medicine) Physician Farmington, NM

Practice location

Address
622 W Maple St STE B, Farmington, NM 87401-6590
Phone
(505) 327-4867
Mailing address
622 W Maple St STE B, Farmington, NM 87401-6589

Registered specialties

Sports Medicine (Family Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207QS0010X Licence A-1969-16 (NM)

Registry record

NPI
1043571458
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Jun 2012
Record last updated
6 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.