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1255367348
TODD B BURT
BOISE, ID
NPI
1255367348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: ID M3865)
Enumeration Date
2006-06-23
Last Update Date
2018-02-14
Business Address
TODD B BURT M.D.
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2094
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Mailing Address
TODD B BURT M.D.
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2094
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