Individual
DR. DAVID G. BURICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 STATE ST, MCCALL, ID 83638-3704
(208) 634-1776
(208) 634-3873
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M5059
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003580300
—
ID
01
—
006078
BLUE CROSS OF IDAHO
—
Enumeration date
01/02/2007
Last updated
07/30/2013
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