Individual
GREGORY ALAN CHARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1240 S TELSHOR BLVD, SUITE B, LAS CRUCES, NM 88011-4731
(575) 522-3885
(575) 522-3895
Mailing address
1240 S TELSHOR BLVD, SUITE B, LAS CRUCES, NM 88011-4731
(575) 522-3885
(575) 522-3895
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2001-154
NM
2084N0600X
Clinical Neurophysiology Physician
2001-154
NM
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
2001-154
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68700041
—
NM
05
—
742785
—
AZ
Enumeration date
07/06/2006
Last updated
07/31/2011
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