Individual
DR. MICHAEL BURGOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2302 COLONIAL AVE SW, SUITE A, ROANOKE, VA 24015
(540) 343-6636
(540) 343-6670
Mailing address
2302 COLONIAL AVE SW, SUITE A, ROANOKE, VA 24015
(540) 343-6636
(540) 343-6670
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001967
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
292833
ANTHEM
—
01
—
P06008229
PALMETTO MEDICARE
—
Enumeration date
10/27/2006
Last updated
07/27/2010
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