| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MICHAEL BURT | 1982100228 | 2024-04-05 |
Michael Burt is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1982100228. Registration indicates Michael Burt is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Michael Burt MD |
| Practice Office Address | MSC10 5610 1 UNIVERSITY OF NEW MEXICO ALBUQUERQUE, NM US |
| Practice Office Telephone | 5052724161 |
| Practice Office Fax | 5052722776 |
| Mailing Address | MSC10 5610 1 UNIVERSITY OF NEW MEXICO ALBUQUERQUE, NM 871310001 US |
| Business Telephone | 5052724161 |
| Business Fax | 5052722776 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |
NM |
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |