Individual
DR. BRADLEY J. SCOGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
407 S SCHWARTZ AVE STE 102, FARMINGTON, NM 87401-5925
(505) 609-9700
Mailing address
407 S. SCHWARTZ STE 102, FARMINGTON, NM 87401-3901
(505) 609-9700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A-1790-13
NM
Other
Enumeration date
04/29/2011
Last updated
10/23/2018
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