NPI 1508062407

Dean Carson Burdge, RPARACBRPA

Practitioner Radiology Practitioner Assistant Birmingham, AL

Practice location

Address: 1 Metroplex Dr Suite 250, Birmingham, AL 35209-6893
Phone: (800) 956-0179
Fax: (205) 802-7549
Mailing address: 245 Newcomer Trl, Fitzgerald, GA 31750-8651

Registered specialties

Radiology Practitioner Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 243U00000X Licence JX28934 (FL)

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Registry record

NPI: 1508062407
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jun 2007
Record last updated: 27 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.