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Organization

INTEGRATED MOBILE MEDICAL SUNCREST ADVANCED ILLNESS MANAGEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GINIA Y BURDICK ANP-C (NURSE PRACTITIONER)
(719) 247-1600
Entity
Organization

Contact information

Practice address
5700 S QUEBEC ST STE 310, GREENWOOD VLG, CO 80111-2008
(719) 247-1600
(801) 883-8044
Mailing address
206 N 2100 W STE 202, SALT LAKE CITY, UT 84116-4741
(801) 924-8571
(801) 883-8044

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
02/01/2019
Last updated
02/01/2019
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