Individual
DWIGHT BURDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2665 E 2100 S, SALT LAKE CITY, UT 84109-1372
(801) 842-9243
Mailing address
2665 E 2100 S, SALT LAKE CITY, UT 84109-1372
(801) 842-9243
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
156895-1205
UT
207P00000X
Emergency Medicine Physician
C31759
CA
207P00000X
Emergency Medicine Physician
D4939
TX
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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