Individual
DR. MARY BURDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3850 SHORE DR STE 315, INDIANAPOLIS, IN 46254-4693
(317) 682-2038
(317) 920-7482
Mailing address
PO BOX 7203, FISHERS, IN 46038-7303
(317) 682-2038
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
02002905A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200540580A
—
IN
Enumeration date
03/23/2006
Last updated
12/20/2022
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