Individual
DUSTIN LEE BURBANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
577 S RIVER RD, ST GEORGE, UT 84790-2097
(435) 688-6100
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 688-6100
(702) 346-0801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9030601-1206
UT
363AM0700X
Medical Physician Assistant
4723
AZ
Other
Enumeration date
09/30/2010
Last updated
08/23/2022
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