Stephen J Burst, M.D. Valid NPI

Individual provider · Pediatrics Physician · Kanab, UT

NPI

1194926865

Type

Individual (Type 1)

Primary specialty

Pediatrics Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208000000X

License number

172874-1205 (UT)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-05-30

Last updated

2007-07-08