Individual
HILARY BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15043 S 25TH WAY, PHOENIX, AZ 85048-9058
(919) 672-1554
Mailing address
15043 S 25TH WAY, PHOENIX, AZ 85048-9058
(919) 672-1554
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6784
AZ
363AM0700X
Medical Physician Assistant
PA22108
CA
Other
Enumeration date
10/25/2006
Last updated
05/01/2024
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