Provider Demographics
NPI:1285640110
Name:MARCHI, DEBORAH LYNN (DOM)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:LYNN
Last Name:MARCHI
Suffix:
Gender:F
Credentials:DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4520 MONTGOMERY BLVD NE
Mailing Address - Street 2:#3
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-1217
Mailing Address - Country:US
Mailing Address - Phone:505-884-2200
Mailing Address - Fax:505-884-2201
Practice Address - Street 1:4520 MONTGOMERY BLVD NE
Practice Address - Street 2:#3
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-1217
Practice Address - Country:US
Practice Address - Phone:505-884-2200
Practice Address - Fax:505-884-2201
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM817171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM00RH46Medicare UPIN