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Contact Information

HEATHER E MARANCENBAUM, MD
211 SUDDERTH DR
RUIDOSO, NM88345-6002
 Phone: 575-257-8200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for HEATHER E MARANCENBAUM · (Female)

NPI # 1528073384
Status Active
Credentials MD
Entity Individual
Enumeration date 07/30/2006
Last updated 10/02/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NM License # MD2015-0170
  • OK License # 24957
Hospital affiliation(s)
  • MEMORIAL MEDICAL CENTER INC - (Acute Care)
    2450 SOUTH TELSHOR BLVD
    LAS CRUCES, NM 88011
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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