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Individual
GORDON D BURTCH
Active
Individual
GORDON D BURTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME0040302
FL
2086S0129X
Vascular Surgery Physician
Primary
ME0040302
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020032360
RAILROAD MEDICARE
—
05
—
062524800
—
FL
01
—
15808
BLUE CROSS BLUE SHIELD
FL
01
—
2012355
AETNA HMO
—
01
—
4110614
AETNA PPO
—
Enumeration date
08/26/2005
Last updated
08/29/2014
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