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Individual
MR. DAVID E BURSTEDT
Active
Individual
MR. DAVID E BURSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
RPT-1815
ID
207L00000X
Anesthesiology Physician
BP10053739
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
11069136-1205
UT
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
61181
TN
Other
Enumeration date
09/02/2006
Last updated
08/27/2020
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