Individual
ANDREW LEE BURLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARRT(R)(CT)
Contact information
Practice address
407 WASHINGTON AVE, CRAB ORCHARD, WV 25827-9598
(304) 252-4785
Mailing address
407 WASHINGTON AVE, CRAB ORCHARD, WV 25827-9598
(304) 252-4785
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
3281
WV
2471C3402X
Radiography Radiologic Technologist
3281
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3281
STATE OF WEST VIRGINIA MEDICAL IMAGING AND RADIATION THERAPY
WV
Enumeration date
08/28/2008
Last updated
08/28/2008
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