Provider Demographics
NPI:1467441162
Name:BURGIO, DON L (MD)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:L
Last Name:BURGIO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9097 E DESERT COVE AVE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260
Mailing Address - Country:US
Mailing Address - Phone:480-614-0499
Mailing Address - Fax:480-614-4344
Practice Address - Street 1:9097 E DESERT COVE AVE
Practice Address - Street 2:SUITE 250
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260
Practice Address - Country:US
Practice Address - Phone:480-614-0499
Practice Address - Fax:480-614-4344
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2017-02-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301052018207Y00000X
AZ36738207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIDB052018OtherLICENSE NUMBER
MI1020128OtherPHP
MI1360211OtherFIRST HEALTH
MI0403802051OtherBLUE CROSS
MI4107103Medicaid
MI5284809OtherAETNA
MI1360211OtherFIRST HEALTH
MIDB052018OtherLICENSE NUMBER