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Individual

SARA BURCHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
604 S RIO GRANDE AVE, AZTEC, NM 87410-2260
(505) 334-2664
(505) 334-7759
Mailing address
2577 MAIN AVE, DURANGO, CO 81301-5919
(970) 247-8382
(970) 512-7144

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA.0005385
CO
363AM0700X
Medical Physician Assistant
PA06228
TX
363AM0700X
Medical Physician Assistant
Primary
PA2018-0040
NM

Other

Enumeration date
06/07/2010
Last updated
06/25/2019
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