Search › New Mexico › 363A00000X
Mary Bodewes, PAC
NPI 1659476398 · on the registry since 2006
Practice
- Address
- 630 W Maple St
Farmington, NM 87401 - Phone
- (505) 609-6349
- Organisation at this address
- Dwayne L Gibbs Md Pc
San Juan Regional Medical Center IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Additional practice sites
- 2727 Plaza Drive, Wausau, WI
- 1485 Florida Rd Ste 103a, Durango, CO
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
363A00000X - Licence states on file
- WI, CO, NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-08
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