Provider Demographics
NPI:1417190455
Name:BURT, TREVOR DEON (MD)
Entity type:Individual
Prefix:DR
First Name:TREVOR
Middle Name:DEON
Last Name:BURT
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Gender:M
Credentials:MD
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Mailing Address - Street 1:533 PARNASSUS AVE # U503
Mailing Address - Street 2:UCSF DIVISION OF NEONATOLOGY
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0734
Mailing Address - Country:US
Mailing Address - Phone:415-476-7324
Mailing Address - Fax:415-476-9976
Practice Address - Street 1:533 PARNASSUS AVE # U503
Practice Address - Street 2:UCSF DIVISION OF NEONATOLOGY
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0734
Practice Address - Country:US
Practice Address - Phone:415-476-7324
Practice Address - Fax:415-476-9976
Is Sole Proprietor?:No
Enumeration Date:2009-04-07
Last Update Date:2009-04-07
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Provider Licenses
StateLicense IDTaxonomies
CAA92602208000000X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics