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NPI Code Detail

MEDICARE: DR. MARY ELIZABETH OLGUIN MD

MEDICARE:  DR. MARY ELIZABETH OLGUIN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080N0001XNeonatal-Perinatal Medicine Physician88-111NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326023805
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY ELIZABETH OLGUIN MD
Provider Business Mailing Address
First Line : PO BOX 452036
Second Line :
City : SUNRISE
State : FL
Zip : 33345-2036
Country : US
Telephone Number : 954-838-2371
Fax Number :
Provider Business Practice Location Address
First Line : 4701 MONTGOMERY BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87109-1219
Country : US
Telephone Number : 505-727-8104
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2005
Last Update Date : 07/08/2007

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Directions to “ DR. MARY ELIZABETH OLGUIN MD” Practice Location

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