Thomas Burris

NPI 1093080186 - Technician - 3747P1801X

NPI Details
NPI 1093080186
Gender Male
Enumeration Date 03/21/2012
Last Updated 03/21/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
6842 S 40TH PL
PHOENIX AZ, 85042-5105, US
Phone (602) 733-9258
Fax
Business Location
6842 S 40TH PL
PHOENIX AZ, 85042-5105, US
Phone (602) 733-9258
Fax
Toxanomy
Taxonomy Code 3747P1801X
License State
License Number
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According to our database, Mr. Thomas Burris NPI is 1093080186, taxonomy code is 3747P1801X Thomas Burris physically located at 6842 S 40th Pl, Phoenix AZ, 85042-5105. NPI Number Thomas Burris has the Individual type.

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1093080186 NPI number is provided on an as is basis without warranty of any kind. 1093080186 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Burris are for informational purposes only.