# MR. DAVID E BURSTEDT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1528160371
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | RPT-1815 | ID | — |
| 207L00000X | Anesthesiology Physician | BP10053739 | TX | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 11069136-1205 | UT | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 61181 | TN | Yes |

## Other

- **Enumeration date:** 09/02/2006
- **Last updated:** 08/27/2020