Burt, Randall W.

Burt, Randall W. is an individual health care provider with primary practice located at Huntsman Cancer Institute 2000 Circle Of Hope, Salt Lake City UT 84112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Burt, Randall W. can be contacted via phone (801) 585-3281.

Contact Information

Primary practice address
Huntsman Cancer Institute 2000 Circle Of Hope Salt Lake City UT 84112
Phone: (801) 585-3281
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 160757-1205 Utah

Profile Details

NPI number 1033209622
LBN Legal business name Burt, Randall W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033209622 NPPES
Utah MEDICAID 87-0446925001

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