Healthcare Provider Details

I. General information

NPI: 1962691071
Provider Name (Legal Business Name): BURFORD PSYCHIATRIC SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2007
Last Update Date: 10/15/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 WYOMING AVE
BILLINGS MT
59101-1637
US

IV. Provider business mailing address

902 WYOMING AVE
BILLINGS MT
59101-1637
US

V. Phone/Fax

Practice location:
  • Phone: 406-252-6082
  • Fax: 406-294-0967
Mailing address:
  • Phone: 406-252-6082
  • Fax: 406-294-0967

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number3665
License Number StateMT

VIII. Authorized Official

Name: DR. DUNCAN D BURFORD
Title or Position: OWNER
Credential: M.D.
Phone: 406-252-6082