Dr. Mark David Antenucci is a Roswell, New Mexico based male podiatrist with 40 years of experience in Podiatry. He completed his graduation in 1984. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Mark David Antenucci for Podiatry is 184 in New Mexico. Dr. Mark David Antenucci is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Mark David Antenucci speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
D.P.M
Experience:
40+ years
Medical School Attended:
Other
Graduation Year:
1984
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
313 West Country Club Rd., Ste. 7, Roswell, New Mexico, 88201
Phone:
575-624-2398
Fax:
575-624-0655
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
0446254346
Enrollment ID:
I20061010000738
NPI Number:
1760490759
NPI Enumeration Date:
04 Aug, 2006
NPI Last Update On:
24 Jun, 2009
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mark David Antenucci are as mentioned below.
License Number
Specialization
State
Status
184
Podiatry
New Mexico
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mark David Antenucci such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
55657
Medicaid
New Mexico
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
313 West Country Club Rd., Ste. 7 Roswell, New Mexico
Zip:
88201
Phone Number:
575-624-2398
Fax Number:
575-624-0655
Patients can reach Dr. Mark David Antenucci at 313 West Country Club Rd., Ste. 7, Roswell, New Mexico or can call to book an appointment on 575-624-2398. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
Similar Podiatrist in Roswell, NM
Jeffrey Ash, D.P.M. 22+ yr exp.Speciality: Podiatrist Address: 300 W Country Club Rd Ste 130, NM Phone: 575-625-2669 Fax: 575-625-1296