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Mr. Scott Burgner
Clinical Laboratory Director (Non-physician) in Gallup, New Mexico
NPI 1952152514

Scott Burgner is a Clinical Laboratory Director (Non-physician) based in Gallup, NM and is specialized in Clinical Laboratory Director, Non-physician. Scott Burgner practices in Gallup, NM. The NPI Number for Scott Burgner is 1952152514 and holds a License No. 32D2133123 (New Mexico).

The current practice location address for Scott Burgner is 600 E Coal Ave, Gallup, NM and can be reached out via phone at 505-726-9642 and via fax at 505-726-9642.

Location: 600 E Coal Ave, Gallup, NM, 87301-6006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952152514
Provider Name
Scott Burgner
Credential
Provider Entity Type
Individual
Gender
Male
Address
600 E Coal Ave, Gallup, NM, 87301-6006
Phone Number
505-726-9642
Fax Number
505-726-9642
Provider Enumeration Date
04/01/2024
Last Update Date
04/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1073138244 01 GROUP NPI
institution
Provider Business Practice Location Address Details
Address
600 E Coal Ave
City
Gallup
State
New Mexico
Zip
87301-6006
Phone Number
505-726-9642
Fax Number
505-726-9642
person
Provider Business Mailing Address Details
Address
600 E Coal Ave
City
Gallup
State
New Mexico
Zip
87301-6006
Phone Number
505-726-9642
Fax Number
505-726-9642
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
247ZC0005X
License No.
32D2133123 (New Mexico)
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
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