David R Burgett, O.D.
Optometrist in Goodyear, AZ. Individual provider (NPI-1).
NPI number1649385378
StatusActive
Last updated in NPPESMay 18, 2018
Details
- NPI
- 1649385378
- Entity type
- Individual (NPI-1)
- Name
- David R Burgett
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 21, 2006
- Last updated
- May 18, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPT12244 | CA | Yes |
| 152W00000X | Optometrist | 1290 | AZ |
Practice location
16129 W Morning Glory StGoodyear, AZ 85338-6800
Phone 602-644-1008 · Fax 602-644-1008
Mailing address
6451 N Tierra De Las CatalinasApt 64
Tucson, AZ 85718-2162
Phone 602-517-5059
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All 29 Optometrist providers in Goodyear · All 2,263 providers in Goodyear
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