Organization
DR MARK B BURDORF PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK B BURDORF DC DACNB (DOCTOR OWNER)
(480) 951-5006
Entity
Organization
Contact information
Practice address
8140 E CACTUS RD, SUITE 730, SCOTTSDALE, AZ 85260
(480) 951-5006
(480) 951-1588
Mailing address
8140 E CACTUS RD, SUITE 730, SCOTTSDALE, AZ 85260
(480) 951-5006
(480) 951-1588
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4423
AZ
111NN0400X
Neurology Chiropractor
DIPLOMATE #328
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AW2655
HEALTH NET
—
01
—
AZ0930740
BCBS
AZ
Enumeration date
11/22/2006
Last updated
02/06/2008
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