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Individual

DR. AMOS REID BURGESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
250 W 300 N, ROOSEVELT, UT 84066-2336
(435) 722-4691
(435) 722-9291
Mailing address
525 E MARKET ST, AKRON, OH 44304-1619

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34.010347
OH
207P00000X
Emergency Medicine Physician
Primary
8858421-1204
UT
390200000X
Student in an Organized Health Care Education/Training Program
OH

Other

Enumeration date
06/28/2010
Last updated
10/06/2020
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