Organization
SEDONA INTEGRATIVE OSTEOPATHY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY J BURGOON DO (PHYSICIAN)
(520) 327-4101
Entity
Organization
Contact information
Practice address
6486 SR 179, BLDG D SUITE 108, SEDONA, AZ 86351-7993
(520) 327-4101
Mailing address
6486 SR 179, BLDG D SUITE 108, SEDONA, AZ 86351-7993
(520) 327-4101
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
006216
AZ
Other
Enumeration date
09/27/2013
Last updated
10/08/2013
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