Matthew Evan Burgess O.D.

NPI 1477702835 - Optometrist - 152W00000X

NPI Details
NPI 1477702835
Gender Male
Enumeration Date 09/10/2008
Last Updated 05/02/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
STE A103
DURANGO CO, 81301-5956, US
Phone (970) 382-8970
Fax (970) 382-8966
Business Location
215 W 26TH ST
DURANGO CO, 81301-5913, US
Phone (505) 321-6703
Taxonomy Code 152W00000X
License State New Mexico
License Number 628
Remove 1477702835 NPI Number

According to our database, Dr. Matthew Evan Burgess O.D. NPI is 1477702835, taxonomy code is 152W00000X and license number is 628, license state is located at New Mexico. Matthew Evan Burgess O.D. physically located at 2855 Main Ave, Durango CO, 81301-5956. NPI Number Matthew Evan Burgess O.D. has the Individual type.

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1477702835 NPI number is provided on an as is basis without warranty of any kind. 1477702835 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Evan Burgess O.D. are for informational purposes only.