Individual
BROOK L MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6621 GULTON CT NE, ALBUQUERQUE, NM 87109-4407
(505) 888-0443
(505) 888-1398
Mailing address
6621 GULTON CT NE, ALBUQUERQUE, NM 87109-4407
(505) 888-0443
(505) 888-1398
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
MD2010-0172
NM
207VG0400X
Gynecology Physician
35121536
OH
207VG0400X
Gynecology Physician
MD2010-0172
NM
207VX0000X
Obstetrics Physician
MD2010-0172
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29825334
—
NM
Enumeration date
01/30/2007
Last updated
10/28/2021
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