Individual
MR. STEVEN EUGENE BURBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
6610 N LOVINGTON HWY, HOBBS, NM 88240-9120
(505) 392-6561
Mailing address
10711 ROSALIE DR, NORTHGLENN, CO 80233-3551
(505) 392-0212
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
333
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
333
NEW MEXICO LICENSE NUMBER
NM
Enumeration date
07/07/2006
Last updated
07/08/2007
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