Organization
LUNG & SLEEP ASSOCIATES OF LAS CRUCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES P BRADLEY MD (OWNER)
(575) 532-4344
Entity
Organization
Contact information
Practice address
2735 NORTHRISE DR, LAS CRUCES, NM 88011-0897
(575) 532-4344
(575) 532-4347
Mailing address
205 W BOUTZ RD, BLDG 1, LAS CRUCES, NM 88005-3262
(575) 532-7000
(575) 556-7131
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29381002
—
NM
01
—
NM007H49
BCBS OF NM
NM
Enumeration date
08/24/2005
Last updated
07/01/2009
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