Standley, Mark A

Standley, Mark A is an individual health care provider with primary practice located at 2200 W 21St St Same Day Care Clinic - Clovis, Clovis NM 88101-2011. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Standley, Mark A can be contacted via phone (505) 769-7577.

Contact Information

Primary practice address
2200 W 21St St Same Day Care Clinic - Clovis Clovis NM 88101-2011
Phone: (505) 769-7577
Fax: (505) 769-6374
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2018-0080 New Mexico

Profile Details

NPI number 1114445590
LBN Legal business name Standley, Mark A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2017
Last updated Apr 8th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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