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Contact Information

AMOS R BURGESS, DO
250 W 300 N
ROOSEVELT, UT84066-2336
 Phone: 435-722-4691
 Fax: 435-722-9291
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for AMOS R BURGESS · (Male)

NPI # 1881905503
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/28/2010
Last updated 10/06/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 34.010347
  • UT License # 8858421-1204
Hospital affiliation(s)
  • UINTAH BASIN MEDICAL CENTER - (Acute Care)
    250 WEST 300 NORTH (75-2)
    ROOSEVELT, UT 84066
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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