IndividualActive
Mark Antenucci, D.P.M
NPI 1760490759 · Podiatrist · Roswell, NM
Provider details
- NPI number
- 1760490759
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M
- Sex
- Male
- Sole proprietor
- No
- License
- 184 (NM)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
313 West Country Club Rd.
Ste. 7
Roswell, NM 88201
Phone: (575) 624-2398
Fax: (575) 624-0655
Approximate (ZIP-level) locationGet directions
Mailing address
313 West Country Club Rd.
Roswell, NM 88201
Registry dates
- Enumerated
- 2006-08-04
- Last updated
- 2009-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.