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TYSON L. BURDEN M.D.

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1588601843

Individual Registrant:
 TYSON L. BURDEN M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
445 E 10TH ST  BAXTER SPRINGS, KS 66713-1614 US
Tel: 620-856-3469  Fax: 620-856-5330

Contact information for business:
2631 CUNNINGHAM AVE SUITE A JOPLIN, MO 64804-1543 US
Tel: 417-627-8967  Fax: 417-627-8951

Registration Information:
NPI: 1588601843
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
KS0427633

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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