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Contact Information

BRIAN GAFFORD
1065 S MAIN ST
BUILDING A
LAS CRUCES, NM88005-2974
 Phone: 575-343-5644
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Mental Health

101YM0800X
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for BRIAN GAFFORD · (Male)

NPI Number 1639302706
Status Active
Credentials
Entity Individual
Enumeration date 08/24/2009
Last updated 07/17/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 0158941
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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