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Individual
CHRISTOPHER SULLIVAN BOURKE JR.
Active
Individual
CHRISTOPHER SULLIVAN BOURKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103301260
VA
213ES0103X
Foot & Ankle Surgery Podiatrist
E5421
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006559
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225456361
—
VA
05
—
30015889120002
—
VA
Enumeration date
04/05/2014
Last updated
08/25/2026
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