Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRENT RAY BURDETT, M.D.
ActiveDR. BRENT RAY BURDETT, M.D. is a Allergy & Immunology healthcare provider located in SOUTH OGDEN, Utah. NPI 1750383097 is currently active in the NPPES registry. Verify at CMS.
Allergy & Immunology · SOUTH OGDEN, UT
Registration Details
- NPI Number
- 1750383097
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2005 (21.220799124721 yrs)
- Last Updated
- Jun 23, 2010
- License
-
75-158533-1205 (UT)
Practice Information
- Address
-
5929 FASHION POINT DRSTE 101SOUTH OGDEN, UT, 844034672Browse UT providers · Browse ZIP 84403
- Phone
- 8014760052
- Fax
- 8014760064
- Primary Specialty
-
Allergy & Immunology
207K00000X
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.