Provider Demographics
NPI:1164729711
Name:STRUG, BURT SOLOMON (MD)
Entity Type:Individual
Prefix:DR
First Name:BURT
Middle Name:SOLOMON
Last Name:STRUG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2801 N. CAMINO PRINCIPAL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-3112
Mailing Address - Country:US
Mailing Address - Phone:520-298-6761
Mailing Address - Fax:520-298-6742
Practice Address - Street 1:2801 N. CAMINO PRINCIPAL
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-3112
Practice Address - Country:US
Practice Address - Phone:520-298-6761
Practice Address - Fax:520-298-6742
Is Sole Proprietor?:No
Enumeration Date:2011-02-17
Last Update Date:2011-02-24
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Provider Licenses
StateLicense IDTaxonomies
AZ9782208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)