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Becky Jo Burdick, PA-C

Physician Assistant in Eagan, MN. Individual provider (NPI-1).

NPI number1366461840
StatusActive
Last updated in NPPESDec 30, 2021

Details

NPI
1366461840
Entity type
Individual (NPI-1)
Name
Becky Jo Burdick
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Jul 18, 2006
Certification date
Dec 30, 2021
Last updated
Dec 30, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant9606MNYes

Practice location

1185 Town Centre Dr Ste 100
Eagan, MN 55123-1188

Phone 651-968-5200 · Fax 651-968-5903

Mailing address

710 Commerce Dr Ste 200
Woodbury, MN 55125-4925

Phone 651-968-5042 · Fax 651-968-5904

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