Individual
PETER BRUZAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, CSCS
Contact information
Practice address
113 E COLLEGE BLVD, ROSWELL, NM 88201-5158
(575) 622-6500
Mailing address
3300 N ATKINSON AVE APT 15, ROSWELL, NM 88201-7819
(704) 249-5685
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
613
NM
Other
Enumeration date
01/09/2016
Last updated
01/09/2016
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