Individual
DR. EVERETT CARL BURGESS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 ARCH ST STE 301, AKRON, OH 44304-1429
(330) 762-8875
(330) 762-2165
Mailing address
2937 IVANHOE RD, SILVER LAKE, OH 44224-3011
(330) 923-4118
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35040675
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0343891
—
OH
Enumeration date
08/31/2006
Last updated
02/24/2009
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