Marque D Broussard, MD Valid NPI

Individual provider · Emergency Medicine Physician · Albuquerque, NM

NPI

1477592764

Type

Individual (Type 1)

Primary specialty

Emergency Medicine Physician (Emergency Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207P00000X

License number

MD2005-0484 (NM)

Sex

Male

Sole proprietor

No

Enumerated

2006-06-05

Last updated

2007-07-08