Individual
MITCHELL IRA BURKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11720 MAIN ST STE 108, FREDERICKSBURG, VA 22408-7368
(540) 735-9350
Mailing address
11720 MAIN ST STE 108, FREDERICKSBURG, VA 22408-7368
(540) 735-9350
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
0101282544
VA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
D0031869
MD
207ZC0006X
Clinical Pathology Physician
0101282544
VA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
D0031869
MD
Other
Enumeration date
08/14/2019
Last updated
05/22/2024
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