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NPI Code Detail

MEDICARE: FRED EARL BURSON DO

MEDICARE:   FRED EARL BURSON  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician20A3239CA

General Provider Information

NPI Number : 1356321517
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRED EARL BURSON DO
Provider Business Mailing Address
First Line : 2213 WINCHESTER ST
Second Line :
City : OCEANSIDE
State : CA
Zip : 92054-3545
Country : US
Telephone Number : 760-721-2813
Fax Number : 760-754-0478
Provider Business Practice Location Address
First Line : 937 FRANKLIN AVE
Second Line :
City : LEMOORE
State : CA
Zip : 93246-0001
Country : US
Telephone Number : 559-998-4262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2006
Last Update Date : 03/08/2026

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Directions to “ FRED EARL BURSON DO” Practice Location

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