Andrew Kelly Burt M.D.

NPI 1124147368 - Legal Medicine - 173000000X

NPI Details
NPI 1124147368
Gender Male
Enumeration Date 03/28/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
77 MARK DR STE 25
SAN RAFAEL CA, 94903-2268, US
Phone (415) 491-1492
Fax (415) 419-1499
Business Location
77 MARK DR STE 25
SAN RAFAEL CA, 94903-2268, US
Phone (415) 491-1492
Fax (415) 419-1499
Toxanomy
Taxonomy Code 173000000X
License State California
License Number C383160
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According to our database, Andrew Kelly Burt M.D. NPI is 1124147368, taxonomy code is 173000000X and license number is C383160, license state is located at California. Andrew Kelly Burt M.D. physically located at 77 Mark Dr Ste 25, San Rafael CA, 94903-2268. NPI Number Andrew Kelly Burt M.D. has the Individual type.

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1124147368 NPI number is provided on an as is basis without warranty of any kind. 1124147368 is maintained by the National Plan & Provider Enumeration System. The contents of Andrew Kelly Burt M.D. are for informational purposes only.