Laura K. Burgeson, PA-C

NPI #1962467977 in Hayden, Idaho

Provider Information

NPI Number: 1962467977
Entity Type: Individual
Name: Laura K. Burgeson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 20, 2006
Last Updated: Jun 16, 2021

Practice Location

Address: 1986 W HAYDEN AVE
City: Hayden
State: Idaho
ZIP Code: 83835-7412
Phone: (208) 762-7760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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