Individual
COLEMAN BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1405 S HIGH ST, COLUMBUS, OH 43207-1043
(614) 722-0417
Mailing address
700 CHILDRENS DR # ED277, COLUMBUS, OH 43205-2664
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57.256261
OH
208000000X
Pediatrics Physician
57.256261
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2024
Last updated
06/18/2024
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