Individual
DR. ELIZABETH JEANNE BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7495 W 29TH AVE, WHEAT RIDGE, CO 80033
(303) 761-1977
(303) 343-0247
Mailing address
7495 W 29TH AVE, WHEAT RIDGE, CO 80033-8002
(303) 761-1977
(303) 434-0247
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036160606
IL
207Q00000X
Family Medicine Physician
Primary
DR.0072622
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029583
KAISER COMMERCIAL NUMBER
CO
05
—
9000230073
—
CO
Enumeration date
06/05/2019
Last updated
07/09/2024
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