Mark Van Wormer, MD

NPI 1013919034 · on the registry since 2005

Practice

Address: 314 N 3rd Ave
Clayton, NM 88415
Phone: (575) 374-8313
Fax: (575) 374-2064
Organisation at this address: Clayton Health Systems Inc
Clayton Health Systems, Inc
Union County Medical Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 208D00000X
208D00000X
Licence states on file: NM
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-07-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico