Individual
JONATHAN BURDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1960 N OGDEN ST STE 460, DENVER, CO 80218-3670
(303) 318-2500
Mailing address
7786 S SAULSBURY ST, LITTLETON, CO 80128-5452
(720) 981-0214
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48314
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL2908
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021663
KAISER COMMERCIAL NUMBER
CO
05
—
83133780
—
CO
Enumeration date
07/14/2008
Last updated
09/23/2020
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