Individual
MR. PHILLIP O BURR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1400 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 348-2331
(608) 342-4713
Mailing address
1400 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 348-2331
(608) 342-4713
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
005899
GA
363A00000X
Physician Assistant
1066
SC
363A00000X
Physician Assistant
Primary
3486-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10660RS
—
SC
Enumeration date
03/08/2006
Last updated
04/02/2015
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