Individual
LESLIE R BURSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
MEMORIAL HOSPITAL EMERGENCY DEPARTMENT, 420 34TH STREET, BAKERSFIELD, CA 93303
(661) 327-9095
Mailing address
15830 ARABELLA AVE, BAKERSFIELD, CA 93314-7808
(661) 589-2171
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A5701
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX57010
—
CA
Enumeration date
08/10/2006
Last updated
02/04/2020
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