JEREMY K BURDICK

FLAGSTAFF, AZ
NPI1518309350
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner Pediatrics
(Licence: AZ  RN125139)
Enumeration Date2013-07-22
Last Update Date2013-07-22
Business Address
JEREMY K BURDICK FPN
1501 S YALE ST 252
FLAGSTAFF, AZ 86001-7304
Phone number: 928-774-1811
Mailing Address
JEREMY K BURDICK FPN
1501 S YALE ST 252
FLAGSTAFF, AZ 86001-7304
Phone number: 928-774-1811
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