MR. Brandon Ira Crockett
NPI #1558956375 in Bloomfield, New Mexico
Provider Information
- NPI Number
- 1558956375
- Entity Type
- Individual
- Name
- MR. Brandon Ira Crockett
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Mar 3, 2021
- Last Updated
- Mar 3, 2021
Practice Location
- Address
- 101 E BROADWAY AVE
- City
- Bloomfield
- State
- New Mexico
- ZIP Code
- 87413-6235
- Phone
- (505) 330-8220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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