Organization
FOUR CORNERS BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD K LAUGHTER M.D. (PSYCHAITRY)
(505) 879-6575
Entity
Organization
Contact information
Practice address
1500 S SECOND ST STE A, GALLUP, NM 87301-5898
(507) 722-2923
Mailing address
3300 BOX CANYON AVE, GALLUP, NM 87301-6940
(505) 722-2923
(505) 722-2961
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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