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Individual

DR. MARY JANELL BURCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
601 W MCKENNON ST, CLARKSVILLE, AR 72830-3523
(479) 754-8384
(479) 754-7141
Mailing address
PO BOX 668, CLARKSVILLE, AR 72830-0668
(479) 754-8384
(479) 754-7141

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C7669
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0062731
UMWA H&R FUNDS
AR
01
020407900
BLACK LUNG PROGRAM
AR
01
0790780001
PALMETTO GBA
AR
01
080048089
RAILROAD MEDICARE/PALMETT
AR
05
121519001
AR
01
15356000000
QUALCHOICE
AR
01
1670796
UNITED HEALTHCARE
AR
01
510436
HEALTH LINK
AR
01
54227
BLUECROSSBLUESHIELD ARK
AR
01
7345105
AETNA INSURANCE COMPANY
AR
01
XX12984
HEALTH PLUS OF MICHIGAN
AR
Enumeration date
01/26/2006
Last updated
06/26/2025
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