Individual
MR. ANTHONY TODD BURDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
1313 CUTTING BLVD, RICHMOND, CA 94804-2554
(510) 232-0874
(510) 232-8652
Mailing address
1313 CUTTING BLVD, RICHMOND, CA 94804-2554
(510) 232-0874
(510) 232-8652
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
38144
CA
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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