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Individual

ANGELA RENEE BRATTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1623 CENTRAL AVE, LOS ALAMOS, NM 87544-3018
(505) 662-5444
(505) 662-6109
Mailing address
8801 HORIZON BLVD NE, SUITE 360, ALBUQUERQUE, NM 87113-1533
(505) 246-2622
(505) 213-0103

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
93-219
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05676
NM
01
NM003195
BC BS OF NM
NM
Enumeration date
07/29/2005
Last updated
04/15/2008
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