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1588717896
BRIAN BURT
PHOENIX, AZ
NPI
1588717896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: AZ 7404)
Enumeration Date
2007-01-19
Last Update Date
2019-04-17
Business Address
Mr. BRIAN BURT PA-C
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1200
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Mailing Address
Mr. BRIAN BURT PA-C
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1200
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