Individual
DR. HECTOR IVAN BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HIGHWAY 18 EAST, PINE RIDGE HOSPITAL - INDIAN HEALTH SERVICE UNIT, PINE RIDGE, SD 57770
(605) 867-3273
(605) 867-3271
Mailing address
PO BOX 1201, PINE RIDGE INDIAN HEALTH SERVICE UNIT, PINE RIDGE, SD 57770-1201
(605) 867-3273
(605) 867-3271
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9942
PR
Other
Enumeration date
12/22/2005
Last updated
01/09/2012
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