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Search › Arizona › 363LP0200X

Jeremy Burdick, FPN

NPI 1518309350 · on the registry since 2013

Practice

Address
1501 S Yale St
252
Flagstaff, AZ 86001
Phone
(928) 774-1811
Fax
(928) 774-2006
Organisation at this address
Naz Mua Llc
Lhcg Lxxvii, Llc
Elite Uc Care Llc
Proforma Health Pllc
Munderloh Medical Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
363LP0200X
363LP0200X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-07-22

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 Arizona