Individual
MARY BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3RD AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE, ALBUQUERQUE, NM 87131-0001
(505) 272-2345
Mailing address
2211 LOMAS BLVD NE, MSC19 5590, ALBUQUERQUE, NM 87131-0001
(505) 272-2345
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
88-PA05
NM
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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