Individual
RICHARD WAYNE BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 694-0111
Mailing address
2019 N WILD HYACINTH DR, TUCSON, AZ 85715-5915
(520) 609-1680
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
4602
AZ
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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