Individual
RICHARD LOUIS BURGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-0001
(125) 396-8111
Mailing address
9005 S J ST, TACOMA, WA 98444-4301
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DO.OP.61666129
WA
207LP3000X
Pediatric Anesthesiology Physician
DO.OP.61666129
WA
208D00000X
General Practice Physician
Primary
0102207431
VA
Other
Enumeration date
02/23/2021
Last updated
07/24/2026
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