Individual provider · Type 1 NPI

Marie L. Bensulock, PA-C

Medical Physician Assistant · Albuquerque, NM

NPI number 1841524006 Active

Practice location

803 Tijeras Ave NW
Albuquerque, NM 87102-3096

Call (505) 243-2223 Map

Mailing address

8100 Barstow St NE Apt 13104
Albuquerque, NM 87122-2876

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA2008-0001 (NM)

Medical Physician Assistant: Definition to come...

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About NPI 1841524006

Marie L. Bensulock, PA-C's National Provider Identifier is 1841524006, issued on Sep 21, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Albuquerque, NM. The record was last updated on Sep 21, 2009.