Individual
LESLIE BURDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1445 E 5600 S, SOUTH OGDEN, UT 84403-4537
(801) 513-7174
Mailing address
1445 E 5600 S, SOUTH OGDEN, UT 84403-4537
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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