Individual
JACK B BURGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 NORTH AVE, GRAND JUNCTION, CO 81501-3122
(970) 819-9581
Mailing address
1100 NORTH AVE, GRAND JUNCTION, CO 81501-3122
(970) 819-9581
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
PA.0008010
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/01/2021
Last updated
11/08/2023
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