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Individual
MR. RICHARD BURDICK
Active
Individual
MR. RICHARD BURDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
R122529
MD
363L00000X
Nurse Practitioner
Primary
R122529
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257704600
—
MD
01
—
CA8374
R/R MEDICARE GROUP #
MD
01
—
P00250047
R/R MEDICARE PROVIDER #
MD
Enumeration date
05/08/2006
Last updated
11/21/2007
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