Mark E. Van Wormer, MD
Family Medicine · Clayton, NM
UnclaimedMDNPI 1013919034
- Primary taxonomy
- 208D00000X
- Enumerated
- 2005-08-10
- Practice location
- Clayton, NM
- Last NPPES update
- 2009-07-15
State licenses
- NM · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.