ALEXANDRA MICHAELA BRACKEN

RUIDOSO, NM
NPI1801355508
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: NM  DO2024-0072)
Enumeration Date2019-03-13
Last Update Date2026-06-07
Business Address
ALEXANDRA MICHAELA BRACKEN D.O.
121 EL PASO RD GENERAL SURGERY - RUIDOSO
RUIDOSO, NM 88345-6033
Phone number: 575-630-8350
Mailing Address
ALEXANDRA MICHAELA BRACKEN D.O.
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: