Individual
JON M BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3455 LUTHERAN PARKWAY, #290, WHEAT RIDGE, CO 80033
(303) 467-1467
Mailing address
POST OFFICE BOX 3180, DENVER, CO 80201
(800) 693-9930
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
32110
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01321108
—
CO
Enumeration date
08/15/2006
Last updated
02/23/2009
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