Individual
DR. RICHARD LEE BREEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 E 30TH ST, STE B-102, FARMINGTON, NM 87401-8990
(505) 609-6790
(505) 599-4640
Mailing address
3401 N BUTLER AVE STE 105, FARMINGTON, NM 87401-6867
(505) 716-4180
(505) 325-1365
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2000-14
NM
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
2000-14
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00069631
—
NM
Enumeration date
07/20/2006
Last updated
04/11/2019
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