Individual
JOHN H BURGESS
Active
Individual
JOHN H BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19299
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00037314
—
AL
01
—
51037314
BLUE CROSS & BLUE SHIELD
AL
Enumeration date
03/17/2006
Last updated
11/15/2007
Update your record
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