Burgett, Alton D

Burgett, Alton D is an individual health care provider with primary practice located at 3725 W 4100 S , West Valley City UT 84120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Burgett, Alton D can be contacted via phone (801) 965-3600.

Contact Information

Primary practice address
3725 W 4100 S West Valley City UT 84120
Phone: (801) 965-3600
Fax: (801) 965-3526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 56452571205 Utah

Profile Details

NPI number 1124059514
LBN Legal business name Burgett, Alton D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated May 14th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124059514 NPPES
Utah MEDICAID 057470299001

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