Search › New Mexico › 363A00000X
Brian Ingram, PA
NPI 1700368495 · on the registry since 2018
Practice
- Address
- 1851 Old Hwy 66
Edgewood, NM 87015 - Phone
- (505) 286-2396
- Fax
- (505) 286-2398
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-08-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico