Mark Thomas Burbridge DO

NPI 1477749208 - Internal Medicine - 207R00000X

NPI Details
NPI 1477749208
Gender Male
Enumeration Date 09/14/2007
Last Updated 01/03/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
56 MEDICAL GROUP
7219 N LITCHFIELD RD
LUKE AFB AZ, 85309-1529, US
Phone (623) 856-9784
Fax
Business Location
56 MEDICAL GROUP
7219 N LITCHFIELD RD
LUKE AFB AZ, 85309-1529, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Arizona
License Number 005951
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According to our database, Dr. Mark Thomas Burbridge DO NPI is 1477749208, taxonomy code is 207R00000X and license number is 005951, license state is located at Arizona. Mark Thomas Burbridge DO physically located at 56 Medical Group, Luke Afb AZ, 85309-1529. NPI Number Mark Thomas Burbridge DO has the Individual type.

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1477749208 NPI number is provided on an as is basis without warranty of any kind. 1477749208 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Thomas Burbridge DO are for informational purposes only.