Individual
DR. WILLIAM CHARLES BURGETTE
Active
Individual
DR. WILLIAM CHARLES BURGETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34.010419
OH
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
34-01-0419
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001133176
ANTHEM
OH
05
—
0136604
—
OH
01
—
H375521
MEDICARE (OHIOHEALTH)
OH
Enumeration date
03/24/2009
Last updated
01/06/2025
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