Burks, Bruce Todd

Burks, Bruce Todd is an individual health care provider with primary practice located at 1 University Of New Mexico Msc08 4640, Albuquerque NM 87131-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Burks, Bruce Todd can be contacted via phone (505) 272-3434.

Contact Information

Primary practice address
1 University Of New Mexico Msc08 4640 Albuquerque NM 87131-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 4301078708 Michigan

Profile Details

NPI number 1528104924
LBN Legal business name Burks, Bruce Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Apr 13th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528104924 NPPES
Michigan MEDICAID 5200944

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