Organization
BURGETT FAMILY EYE CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R BURGETT O.D. (OWNER)
(602) 517-5059
Entity
Organization
Contact information
Practice address
5850 E BROADWAY BLVD, TUCSON, AZ 85711-3902
(602) 517-5059
Mailing address
6451 N TIERRA DE LAS CATALINAS APT 64, TUCSON, AZ 85718-2162
(602) 517-5059
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1290
AZ
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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