Davey Burrell

NPI 1033382726 · on the registry since 2008 · sole proprietor

Practice

Address: 2055 Garrett Way
Ste. 1
Pocatello, ID 83201
Phone: (208) 236-1600
Fax: (208) 236-6695
Organisation at this address: Portneuf Valley Family Center
Portneuf Valley Family Center
Idaho Transportation Company, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 66

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-04-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho