Individual
ROX CHARLES BURKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1392 N SUNRIDGE CIR, WASHINGTON, UT 84780-2397
(435) 627-9780
(435) 627-9780
Mailing address
1392 N SUNRIDGE CIR, WASHINGTON, UT 84780-2397
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
166254-1205
UT
Other
Enumeration date
04/02/2010
Last updated
04/02/2010
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