Individual
BRYAN ENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 609-2000
Mailing address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
1633652
CO
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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