Individual
MR. KEVIN ANDREW BURDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT-R
Contact information
Practice address
167 NORTH MAIN ST, TUBA CITY, AZ 86045
(928) 283-2708
Mailing address
167 NORTH MAIN ST, PO BOX 600, TUBA CITY, AZ 86045
(928) 283-2708
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
CRT13933
AZ
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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