Provider Demographics
NPI:1558355990
Name:BURRELL, ANDREW DAVID (DO)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:DAVID
Last Name:BURRELL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1244 N GREENFIELD RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85205
Mailing Address - Country:US
Mailing Address - Phone:480-964-6900
Mailing Address - Fax:480-964-6901
Practice Address - Street 1:1244 N GREENFIELD RD
Practice Address - Street 2:SUITE 104
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85205
Practice Address - Country:US
Practice Address - Phone:480-964-6900
Practice Address - Fax:480-964-6901
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-31
Last Update Date:2010-04-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ2584207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine