Individual
DR. JAMES LEE BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5169 COTTONWOOD ST, BLDG. B, SUITE 520, MURRAY, UT 84107-6767
(801) 507-3500
(801) 507-3550
Mailing address
5169 COTTONWOOD ST, BLDG. B, SUITE 520, MURRAY, UT 84107-6767
(801) 507-3500
(801) 507-3550
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
159207-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002087576
—
NV
05
—
003593500
—
ID
05
—
05328
—
UT
01
—
060014535
RR MEDICARE
—
05
—
102335700
—
WY
Enumeration date
03/10/2006
Last updated
12/27/2018
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