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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BURTON LEE VANDERBILT, MD

Active Sole Proprietor

Anatomic Pathology & Clinical Pathology · JUNEAU, AK

Registration Details

NPI Number
1730112582
Provider Type
Individual
Gender
Male
NPI Issued
Jul 7, 2006 (19.792828414291 yrs)
Last Updated
Sep 7, 2007
Licenses
4560 (AK)
17974 (WA)
Sole Proprietor
Yes

Practice Information

Address
3260 HOSPITAL DR
BURT VANDERBILT MD PATHOLOGY DEPT. BARTLETT REG. HOSP.
JUNEAU, AK, 998017808
Browse AK providers · Browse ZIP 99801
Phone
9077968841
Fax
9077968494
Primary Specialty
Anatomic Pathology & Clinical Pathology
207ZP0102X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.