Individual
DR. JUSTIN JAMES BURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
9035 S 1300 E STE 100, SANDY, UT 84094-3131
(801) 566-4119
Mailing address
9035 S 1300 E STE 100, SANDY, UT 84094-3131
(801) 566-4119
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12890769-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841473295
—
UT
Enumeration date
06/13/2022
Last updated
06/13/2022
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