Individual
DR. TERRY LYNN BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., N.M.D.
Contact information
Practice address
1348 E 17TH ST, IDAHO FALLS, ID 83404-6270
(208) 542-6564
(208) 542-6571
Mailing address
1348 E 17TH ST, IDAHO FALLS, ID 83404-6270
(208) 542-6564
(208) 542-6571
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
C792
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740281435
INC NPI
ID
Enumeration date
12/26/2006
Last updated
07/08/2007
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