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Dr. John Burdon

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NPI Number Detailed Information

Provider Information:

Name: Dr. John Burdon
Gender: M
Provider License Number If Given: 87-16

NPI Information:

NPI: 1134128416
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/19/2005

Last Update Date: 9/1/2010

Provider Business Mailing Address:

Address: 7788 JEFFERSON ST NE
Albuquerque, NM 87109
Phone Number: 5059991600
Fax Number: 5059991653

Provider Business Practice Location Address:

Address: 7788 JEFFERSON ST NE
Albuquerque, NM 87109
Phone Number: 5059991600
Fax Number: 5059991653

Provider Taxonomy:

Primary: 207RG0100X
Secondary (if any):
State: NM

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