Dr Thomas Burgdorff, MD | |
25455 Barton Rd Ste 102b, Loma Linda, CA 92354 | |
(909) 558-2808 | |
Not Available |
Full Name | Dr Thomas Burgdorff |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 25455 Barton Rd Ste 102b, Loma Linda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1336182229 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207X00000X | Orthopaedic Surgery | G31113 (California) | Primary |
207X00000X | Orthopaedic Surgery | MD00018412 (Washington) | Secondary |
Entity Name | Faculty Physicians And Surgeons Of Llusm |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
Mailing Address | Practice Location Address |
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Dr Thomas Burgdorff, MD 25455 Barton Rd Ste 102b, Loma Linda, CA 92354-3139 Ph: () - | Dr Thomas Burgdorff, MD 25455 Barton Rd Ste 102b, Loma Linda, CA 92354 Ph: (909) 558-2808 |
Philip Henry Reiswig, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-583-6073 | |
Dr. Corey Brandon Fuller, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 25455 Barton Rd Ste 102b, Loma Linda, CA 92354 Phone: 909-558-6444 Fax: 909-558-6118 | |
Parke William Hudson, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4000 | |
Dr. Gary D Botimer, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 25455 Barton Rd, Ste 102b, Loma Linda, CA 92354 Phone: 909-558-2808 Fax: 909-558-5599 | |
Allen Nedley, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 11234 Anderson Street, Gme Office Westerly Suite 'c', Loma Linda, CA 92354 Phone: 909-558-6444 | |
Dr. Arthur Thiel, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd, Ste 102b, Loma Linda, CA 92354 Phone: 909-558-2808 Fax: 909-558-5588 | |
Gary Lewis Painter, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 11354 Mountain View Ave Ste A, Loma Linda, CA 92354 Phone: 909-799-7171 Fax: 909-799-5959 |