Individual
BURTON LEE VANDERBILT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3260 HOSPITAL DR, BURT VANDERBILT MD PATHOLOGY DEPT. BARTLETT REG. HOSP., JUNEAU, AK 99801-7808
(907) 796-8841
(907) 796-8494
Mailing address
3260 HOSPITAL DR, BURTONVANDERBILT MD PATHOLOGY DEPT. BARTLETT REG. HOSP., JUNEAU, AK 99801-7808
(907) 796-8841
(907) 796-8494
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
17974
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4560
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD4560
—
AK
Enumeration date
07/07/2006
Last updated
09/07/2007
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