Individual
DR. DANIEL C BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3715 DAUPHIN ST STE 7A, MOBILE, AL 36608-1775
(251) 460-5461
Mailing address
PO BOX 11407 DEPT # 8094, BIRMINGHAM, AL 35246-0001
(251) 410-4001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26349
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03428828
—
MS
05
—
164875
—
AL
01
—
511-53008
BLUE CROSS
AL
Enumeration date
04/18/2006
Last updated
02/02/2022
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