Whalio Doctors

NPI 1245790385

Ana Alicia Leonso Bravo, MD

Practitioner Internal Medicine Physician Roswell, NM

Practice location

Address
601 W Country Club Rd STE 102, Roswell, NM 88201-5227
Phone
(505) 272-1312
Mailing address
800 Bradbury Dr SE STE 116, Albuquerque, NM 87106-4310

Registered specialties

Internal Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence MD2024-0962 (NM)

Registry record

NPI
1245790385
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Mar 2019
Record last updated
16 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.