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Contact Information

BRUCE A MAZUR, PT DC
1401 MACLOVIA
SUITE G
SANTA FE, NM87505
 Phone: 505-471-0818
 Fax: 505-471-0822
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for BRUCE A MAZUR · (Male)

NPI # 1386645943
Status Active
Credentials PT DC
Entity Individual
Enumeration date 08/04/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 2379
  • NM Other NM000651 BLUE CROSS BLUE SHIELD
  • NM Other 2379 STATE OF NM REG. AND LIC.
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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