Individual
DR. LARRY BURBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
654 CAMINO DE LOS MARES, EMERGENCY DEPARTMENT, SAN CLEMENTE, CA 92673-2827
(949) 489-4516
Mailing address
654 CAMINO DE LOS MARES, EMERGENCY DEPARTMENT, SAN CLEMENTE, CA 92673-2827
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A5489
CA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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