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DR. BRENT RAY BURDETT M.D.

Allergy and Immunology

South Ogden, Utah

Provider NPI: 1750383097

Provider Information:
DR. BRENT RAY BURDETT M.D.


Practice Location:
5929 FASHION POINT DR STE 101 SOUTH OGDEN, UT 84403 US
Tel: 801-476-0052  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
UT75-158533-1205

Other Provider Identifiers:

IssuerNumberStateType
D0730002
00000083604
RAILROAD MEDICARE03000148201
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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