Organization
DAVID M. BURKONS, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M BURKONS M.D. (OWNER)
(216) 297-2061
Entity
Organization
Contact information
Practice address
1611 S GREEN RD, 004, SOUTH EUCLID, OH 44121-4128
(216) 297-2061
(216) 297-2034
Mailing address
1611 S GREEN RD, 004, SOUTH EUCLID, OH 44121-4128
(216) 297-2061
(216) 297-2034
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
35040676
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0377784
—
OH
Enumeration date
11/18/2009
Last updated
01/14/2010
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