Individual
CLARKE A. BRUNTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1100 W. 21ST, CLOVIS, NM 88101
(575) 769-2345
(575) 769-9013
Mailing address
1100 W. 21ST, CLOVIS, NM 88101
(575) 769-2345
(575) 769-9013
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A-1160-01
NM
2084P0800X
Psychiatry Physician
A116001
NM
Other
Enumeration date
11/22/2006
Last updated
04/21/2015
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