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Organization

BURDEN MEDICAL CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TYSON L BURDEN MD (OWNER/CEO)
(620) 856-3469
Entity
Organization

Contact information

Practice address
445 E 10TH ST, BAXTER SPRINGS, KS 66713-1614
(620) 856-3469
Mailing address
445 E 10TH ST, BAXTER SPRINGS, KS 66713-1614
(620) 856-3469

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
01/30/2009
Last updated
02/17/2009
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