Individual
DR. HARRY RUSSELL BURGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12127 B HWY 14 N, STE 5, CEDAR CREST, NM 87008-9461
(505) 281-2460
(505) 281-2463
Mailing address
12127B HWY 14 N, STE 5, CEDAR CREST, NM 87008-9461
(505) 281-2460
(505) 281-2463
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
A122403
NM
208600000X
Surgery Physician
A122403
NM
208D00000X
General Practice Physician
Primary
A-1224-03
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01324331
—
NM
05
—
01786342
—
NM
05
—
1324331
—
NM
05
—
28777841
—
NM
05
—
46650024
—
NM
05
—
51305879
—
NM
05
—
53938577
—
NM
Enumeration date
05/01/2006
Last updated
01/30/2017
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