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Contact Information

RANDALL W BURT, MD
HUNTSMAN CANCER INSTITUTE
2000 CIRCLE OF HOPE
SALT LAKE CITY, UT84112
 Phone: 801-585-3281
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for RANDALL W BURT · (Male)

NPI Number 1033209622
Status Active
Credentials MD
Entity Individual
Enumeration date 10/13/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 160757-1205
  • UT Medicaid 87-0446925001
Hospital affiliation(s) Not Available
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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