Organization
LAURENCE S BURDETT MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURENCE S BURDETT MD (OWNER)
(801) 458-2073
Entity
Organization
Contact information
Practice address
3480 WASHINGTON BLVD STE 105, OGDEN, UT 84401-4149
(801) 392-0385
(801) 393-3334
Mailing address
PO BOX 837, OGDEN, UT 84402-0837
(801) 392-0402
(801) 393-3334
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
3404331205
UT
Other
Enumeration date
08/17/2015
Last updated
08/16/2016
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