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Individual
MR. MARK SAMUEL BURCH
Active
Individual
MR. MARK SAMUEL BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110007036
VA
363A00000X
Physician Assistant
01781
WV
363A00000X
Physician Assistant
Primary
PA2765
KY
363A00000X
Physician Assistant
TC028
KY
Other
Enumeration date
01/08/2014
Last updated
09/17/2024
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