Individual
THOMAS GORDON BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
20 S SPRIGG ST, CAPE GIRARDEAU, MO 63703-6212
(573) 651-4177
(573) 651-3636
Mailing address
20 S SPRIGG ST, CAPE GIRARDEAU, MO 63703-6212
(573) 651-4177
(573) 651-3636
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
115330
MO
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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