Individual
RANDALL W. BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HUNTSMAN CANCER INSTITUTE, 2000 CIRCLE OF HOPE, SALT LAKE CITY, UT 84112
(801) 585-3281
Mailing address
PO BOX 581700, SALT LAKE CITY, UT 84158-1700
(801) 213-3800
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
160757-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87-0446925001
—
UT
Enumeration date
10/13/2006
Last updated
07/08/2007
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