Individual
JAMES D BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
982 CHAMBERS ST, OGDEN, UT 84403-4571
(801) 479-4105
Mailing address
982 CHAMBERS ST, OGDEN, UT 84403-4571
(801) 479-4105
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
357477-3102
UT
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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