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Organization
STARLIGHT CLINIC PLLC
Active
Organization
STARLIGHT CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BURGUNDY JOHNSON DO (PSYCHIATRIST)
(319) 212-8116
Entity
Organization
Contact information
Practice address
6701 CORPORATE DR # 4251, JOHNSTON, IA 50131-1659
(319) 212-8116
Mailing address
6701 CORPORATE DR # 4251, JOHNSTON, IA 50131-1659
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/27/2025
Last updated
11/04/2025
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