DR. Hector Ivan Burgos, M.D.

NPI #1609852490 in Pine Ridge, South Dakota

Provider Information

NPI Number: 1609852490
Entity Type: Individual
Name: DR. Hector Ivan Burgos, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Dec 22, 2005
Last Updated: Jan 9, 2012

Practice Location

Address: HIGHWAY 18 EAST
Address 2: PINE RIDGE HOSPITAL - INDIAN HEALTH SERVICE UNIT
City: Pine Ridge
State: South Dakota
ZIP Code: 57770
Phone: (605) 867-3273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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