Individual
STEVEN FISHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
MSC 10 6000, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-2610
(505) 272-1300
Mailing address
MSC 10 6000, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-2610
(505) 272-1300
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
MD2016-0830
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
03/31/2014
Last updated
04/16/2018
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