Individual
ALFRED G. BERGHOLD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 10TH ST, ALAMOGORDO, NM 88310-5053
(575) 437-7404
(575) 439-2860
Mailing address
1900 10TH ST, ALAMOGORDO, NM 88310-5053
(575) 437-7404
(575) 439-2860
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/26/2009
Last updated
05/03/2011
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