Organization
THERESA A BURDICK MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA A BURDICK MD (PRESIDENT PHYSICIAN)
(206) 368-3605
Entity
Organization
Contact information
Practice address
801 BROADWAY SUITE 707, SEATTLE, WA 98122
(206) 386-3605
(206) 254-9220
Mailing address
801 BROADWAY SUITE 707, SEATTLE, WA 98122
(206) 386-3605
(206) 254-9220
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
MD00016175
WA
207VX0000X
Obstetrics Physician
Primary
MD00016175
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1718600
—
WA
Enumeration date
05/01/2008
Last updated
05/01/2008
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