Individual
MR. BRUCE ALAN ECKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3811 COMMONS AVE NE, ALBUQUERQUE, NM 87109-5832
(505) 345-9599
Mailing address
11602 HERMAN ROSER AVE SE, ALBUQUERQUE, NM 87123-5713
(505) 292-8778
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
239
NM
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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