Organization · Type 2 NPI
Burt Brent MD A Medical Corporation
Plastic and Reconstructive Surgery Physician · Woodside, CA
NPI number
1184763476
Active
Practice location
2995 Woodside Road, Suite 300
Woodside, CA 94062-2447
Fax (650) 851-5302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | G26091 (CA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
About NPI 1184763476
Burt Brent MD A Medical Corporation's National Provider Identifier is 1184763476, issued on Feb 5, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Woodside, CA. The record was last updated on Aug 22, 2020.