NPI 1104859057

Steven Eugene Burback, ATCLAT

Practitioner Athletic Trainer Hobbs, NM

Practice location

Address: 6610 N Lovington Hwy, Hobbs, NM 88240-9120
Phone: (505) 392-6561
Mailing address: 10711 Rosalie Dr, Northglenn, CO 80233-3551

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 333 (NM)

Other Specialist/Technologist providers in New Mexico →

Registry record

NPI: 1104859057
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jul 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.