Individual
NATHANIEL SCOTT BURGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2183 W MAIN ST STE A107, LEHI, UT 84043-6761
(385) 203-1215
(801) 418-0941
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8327420-1206
UT
363A00000X
Physician Assistant
PA61122689
WA
Other
Enumeration date
07/16/2019
Last updated
08/22/2023
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