TERRY T MARQUARDT

Dr TERRY T MARQUARDT is a male medical professional, specializing in Optometry. He graduated in 1974 from Southern College Of Optometry.

Contact

903 NEW YORK AVE
ALAMOGORDO
NM
883106919

Tel: 5754377783

TERRY T MARQUARDT Information

Npi 1801803044
Pac Id 3476663709
Professional Enrollment Id I20120531000435
Last Name MARQUARDT
First Name TERRY
Middle Name T
Suffix
Gender M
Credential
Medical School Name SOUTHERN COLLEGE OF OPTOMETRY
Graduation Year 1974
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 903 NEW YORK AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ALAMOGORDO
State NM
Zip Code 883106919
Phone Number 5754377783
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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