Individual
MR. TODD BURBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-5000
(505) 846-3578
(505) 853-6164
Mailing address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-5000
(505) 846-3578
(505) 853-6164
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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