Individual
LAURENCE S BURDETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PC
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
174400000X
Specialist
Primary
3404331205
UT
Other
Enumeration date
08/15/2005
Last updated
07/20/2015
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