Individual
DR. DENISE ANN BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
749 GOLF VIEW DR, SUITE A, MEDFORD, OR 97504-9654
(541) 779-4575
Mailing address
749 GOLF VIEW DR, SUITE A, MEDFORD, OR 97504-9654
(541) 779-4575
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD 17669
OR
207ND0900X
Dermatopathology Physician
MD17669
OR
207NS0135X
Procedural Dermatology Physician
MD17669
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73486
—
OR
Enumeration date
07/14/2006
Last updated
10/03/2007
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