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Mark J Martineau

  • Male

Medical Specialty

Professional ID

  • NPI: 1538102249
  • PECOS ID: 8820039068
  • Enrollment ID: I20080415000591
  • Credential(MD, DO, DPM): CNA
  • Medical School: Uniformed Services University Of The Health Sciences
  • Medical School Graduation Year: 1996

Hospital Service

  • Hospital CCN1: 320033
  • Business Name (LBN)1: Los Alamos Medical Center
  • Hospital CCN2: 320011
  • Business Name (LBN)2: Presbyterian Espanola Hospital

Medical Practices

  • Organization Name: Pueblo Anesthesia And Pain Services
  • Group Practice ID assigned by PECOS: 0042301707
  • Number of Group Practice member: 3

Location

  • Address1: 3917 W Rd
  • Address2:
  • City: Los Alamos
  • State: New Mexico
  • Zip Code: 87544
  • Phone Number: (505)662-4201

Medical Practices

  • Organization Name: Lct Inc
  • Group Practice ID assigned by PECOS: 8123017878
  • Number of Group Practice member: 4

Location

  • Address1: 1010 Spruce St
  • Address2:
  • City: Espanola
  • State: New Mexico
  • Zip Code: 87532
  • Phone Number: (505)753-7111

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):