Organization
CURTIS D. BURGHART, OD, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CURTIS DEAN BURGHART O.D. (PRESIDENT)
(360) 736-4203
Entity
Organization
Contact information
Practice address
1203 S GOLD ST, CENTRALIA, WA 98531-3715
(360) 736-4203
(360) 736-7059
Mailing address
1203 S GOLD ST, CENTRALIA, WA 98531-3715
(360) 736-4203
(360) 736-7059
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1838
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2013225
—
WA
Enumeration date
01/29/2008
Last updated
11/10/2013
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