Individual
MR. IAN M. BURDETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3200 MACCORKLE AVE SE, HOSPITALISTS PROGRAM, CHARLESTON, WV 25304-1227
(304) 388-5848
(304) 388-9654
Mailing address
3200 MACCORKLE SEAVE B16, CHARLESTON, WV 25304-1227
(304) 388-5848
(304) 388-9654
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01356
WV
Other
Enumeration date
08/12/2008
Last updated
12/17/2015
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