Mark Edward Van Wormer is a General Practice Physician based in Clayton, NM. Mark Edward Van Wormer practices in Clayton, NM and has the professional credentials of MD. The NPI Number for Mark Edward Van Wormer is 1013919034 and holds a License No. 81333 (New Mexico).
The current practice location address for Mark Edward Van Wormer is 314 N 3Rd Ave, Clayton, NM and can be reached out via phone at 575-374-8313 and via fax at 575-374-2064.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060000475 | 01 | RAILROAD MEDICARE | |
| 05645 | 05 | NM |
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