Mark Edward Van Wormer, MD
Mark Edward Van Wormer, MD is a Diagnostic Radiology in Clayton, New Mexico. Qualified in 1980, 46 years ago. Practices with Clayton Health Systems Inc, a 5-clinician group and accepts Medicare assignment. Licensed in New Mexico.
- Years since qualifying
- 46
- Licensed in
- NM
- In the registry since
- 2005
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
314 N 3rd AveClayton, NM 88415-3302
Phone: (575) 374-8313
Fax: (575) 374-2064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence 81333 (NM) |
|---|
Record details
| NPI number | 1013919034 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 10, 2005 |
| Last updated in NPPES | July 15, 2009 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 1980 (46 years in practice) |
| Group practice | Clayton Health Systems Inc — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |