Individual
DR. CHRIS T. BUNTROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
622 W MAPLE ST STE E, FARMINGTON, NM 87401-6589
(505) 325-4003
(505) 327-6140
Mailing address
8801 HORIZON BLVD NE STE 360, ALBUQUERQUE, NM 87113-1563
(505) 828-4923
(505) 213-0103
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD2012-0653
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73022543
—
NM
Enumeration date
07/18/2006
Last updated
06/03/2021
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