Individual
DR. DAVID SIDNEY BURGOYNE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8011 N RACEHORSE RD, PRESCOTT VALLEY, AZ 86315-9070
(480) 980-8540
Mailing address
8011 N RACEHORSE RD, PRESCOTT VALLEY, AZ 86315-9070
(480) 980-8540
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10347
AZ
2084P0802X
Addiction Psychiatry Physician
10347
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10347
MEDICAL LICENSE
AZ
Enumeration date
07/29/2005
Last updated
03/07/2023
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