Individual
DR. THOMAS MATTHEW BURGHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3929 BRIDGEPORT WAY W STE 308, UNIVERSITY PLACE, WA 98466-4455
(253) 272-2999
(253) 272-4699
Mailing address
1610 BISHOP RD SW STE 101, TUMWATER, WA 98512-7303
(360) 338-0004
(360) 753-4861
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 00000546
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1094770
—
WA
05
—
7122997
—
WA
Enumeration date
07/25/2006
Last updated
05/20/2021
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