Individual
STEPHEN J BURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 N 200 W, KANAB, UT 84741-3201
(435) 644-8484
(435) 644-5811
Mailing address
30 N 200 W, KANAB, UT 84741-3201
(435) 644-8484
(435) 644-5811
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
172874-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08079
—
UT
Enumeration date
05/30/2007
Last updated
07/08/2007
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