Individual
RICHARD C BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, SUITE S-51, CLEVELAND, OH 44195-0001
(800) 223-2273
Mailing address
6000 W CREEK RD, SUITE 10, INDEPENDENCE, OH 44131-2139
(800) 223-2273
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35042534
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0785100
—
OH
01
—
130014646
MEDICARE RAILROAD
OH
Enumeration date
06/21/2006
Last updated
06/14/2011
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