Organization
BURT BRENT MD A MEDICAL CORPORATION
Active
Other names
Burton D Brent MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BURTON D BRENT MD (PHYSICIAN OWNER)
(650) 851-5300
Entity
Organization
Contact information
Practice address
2995 WOODSIDE ROAD, SUITE 300, WOODSIDE, CA 94062-2447
(650) 851-5300
(650) 851-5302
Mailing address
2995 WOODSIDE ROAD, SUITE 300, WOODSIDE, CA 94062-2447
(650) 851-5300
(650) 851-5302
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
G26091
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G260910
—
CA
Enumeration date
02/05/2007
Last updated
08/22/2020
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