Individual
MR. ROBER DALE BRUGGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 256-2819
Mailing address
529 MORNINGSIDE DR SE, ALBUQUERQUE, NM 87108-3352
(505) 266-6866
(505) 256-2819
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2002-0002
NM
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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