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Individual

STEVEN JAMES BURCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
19800 EAST ST STE 120, WESTFIELD, IN 46074-3833
(463) 622-9200
(463) 622-9201
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02003896A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201137170
IN
01
P01291694
MEDICARE RR PTAN
IN
Enumeration date
05/17/2011
Last updated
02/25/2025
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