Individual
LETITIA L BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1901 RED ROCK DR, GALLUP, NM 87301-5683
(505) 863-7309
Mailing address
1901 RED ROCK DR, GALLUP, NM 87301-5683
(505) 863-7309
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
14581
NH
207X00000X
Orthopaedic Surgery Physician
A70194
CA
207X00000X
Orthopaedic Surgery Physician
LT-2827
NH
207X00000X
Orthopaedic Surgery Physician
Primary
MD2020-0288
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A701940
—
CA
05
—
08754331
—
NM
05
—
30208936
—
NH
Enumeration date
07/12/2006
Last updated
02/25/2025
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