ANDREW KELLY BURT

SAN RAFAEL, CA
NPI1124147368
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy173000000X Legal Medicine
(Licence: CA  C383160)
Enumeration Date2007-03-28
Last Update Date2007-07-08
Business Address
ANDREW KELLY BURT M.D.
77 MARK DR STE 25
SAN RAFAEL, CA 94903-2268
Phone number: 415-491-1492
Mailing Address
ANDREW KELLY BURT M.D.
77 MARK DR STE 25
SAN RAFAEL, CA 94903-2268
Phone number: 415-491-1492