NPI 1477592764 · live from the CMS NPI Registry
Marque D Broussard, MD
Emergency Medicine in Albuquerque, NM. National Provider Identifier 1477592764, active.
NPI record
| NPI | 1477592764 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 5400 Gibson Blvd Se, Albuquerque, NM 87108 |
| Practice phone | 904-805-1300 |
| Mailing address | Po Box 676065, Dallas, TX 75267 |
| Enumerated | June 5, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine primary | 207P00000X | MD2005-0484 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.