DR. Randy R Burt, OD

NPI #1114058930 in Glendora, California

Provider Information

NPI Number: 1114058930
Entity Type: Individual
Name: DR. Randy R Burt, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Mar 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 852 S GRAND AVE
City: Glendora
State: California
ZIP Code: 91740-4806
Phone: (626) 914-4815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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