Individual
PATRICIA A BREEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6020
(505) 368-6431
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6020
(505) 368-6431
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
37425
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34385584
—
CO
05
—
634297
—
AZ
05
—
N1733
—
NM
Enumeration date
07/14/2006
Last updated
07/08/2007
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