Individual
DR. KENT BURR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-3573
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-3573
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
02003128A
IN
207L00000X
Anesthesiology Physician
Primary
20A12230
CA
2083A0100X
Aerospace Medicine Physician
02003128A
IN
Other
Enumeration date
12/20/2006
Last updated
11/13/2017
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