DR. Deregal Fay Burbank, MD

NPI #1629244132 in Gretna, Louisiana

Provider Information

NPI Number: 1629244132
Entity Type: Individual
Name: DR. Deregal Fay Burbank, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: May 5, 2008
Last Updated: Jul 31, 2009

Practice Location

Address: 120 MEADOWCREST ST.
Address 2: SUITE 245
City: Gretna
State: Louisiana
ZIP Code: 70056
Phone: (504) 391-7690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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