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1750383097
BRENT RAY BURDETT
SOUTH OGDEN, UT
NPI
1750383097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207K00000X Allergy & Immunology
(Licence: UT 75-158533-1205)
Enumeration Date
2005-06-01
Last Update Date
2010-06-23
Business Address
Dr. BRENT RAY BURDETT M.D.
5929 FASHION POINT DR STE 101
SOUTH OGDEN, UT 84403-4672
Phone number: 801-476-0052
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Mailing Address
Dr. BRENT RAY BURDETT M.D.
5929 FASHION POINT DR STE 101
SOUTH OGDEN, UT 84403-4672
Phone number: 801-476-0052
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