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Individual
JEFFREY DANIEL BURRY
Active
Individual
JEFFREY DANIEL BURRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
O-337
ID
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
OP00001929
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010147208
REGENCE BLUESHIELD OF ID
—
01
—
55098
BLUECROSS OF IDAHO
—
05
—
806910700
—
ID
05
—
8398166
—
WA
Enumeration date
12/27/2006
Last updated
07/18/2025
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