Individual
TRENTON BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3001 BROADMOOR BLVD NE DEPT OF, RIO RANCHO, NM 87144-2100
(505) 994-7000
Mailing address
3001 BROADMOOR BLVD NE, RIO RANCHO, NM 87144-2100
(505) 944-7000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD2022-1051
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
08/26/2013
Last updated
05/09/2024
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