Individual
MR. RICHARD DAVID BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.
Contact information
Practice address
1248 32ND ST, SACRAMENTO, CA 95816-5210
(916) 452-5724
Mailing address
1248 32ND ST, SACRAMENTO, CA 95816-5210
(916) 452-5724
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
PRO 92
FL
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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