| Mark A Standley, PA-C | |
|
2200 W 21st St, Same Day Care Clinic - Clovis, Clovis, NM 88101-2011 | |
| (505) 769-7577 | |
| (505) 769-6374 |
| Full Name | Mark A Standley |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2200 W 21st St, Clovis, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114445590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA2018-0080 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A Standley, PA-C Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: () - | Mark A Standley, PA-C 2200 W 21st St, Same Day Care Clinic - Clovis, Clovis, NM 88101-2011 Ph: (505) 769-7577 |
Charla Marie Dunn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2100 N Mlk Blvd, Clovis, NM 88101 Phone: 575-769-7494 Fax: 575-769-7324 | |
Mr. Charles Daniel Otero, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 Arizona St, Suite A, Clovis, NM 88101 Phone: 575-742-3033 Fax: 575-742-1133 | |
Yannick Sharras, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 113 Albright Ave E, Clovis, NM 88103 Phone: 470-830-3811 | |
Robert Dale Bitner, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 208 W Casablanca Ave, Bldg 1400 Cannon Afb 27 Medical Group, Clovis, NM 88103 Phone: 505-784-6608 Fax: 505-784-6028 |