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Individual

DR. JOHN H BURDAKIN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 7TH ST SE, SUITE 101, CEDAR RAPIDS, IA 52401-2120
(319) 558-0322
(319) 558-0324
Mailing address
600 7TH ST SE, SUITE 101, CEDAR RAPIDS, IA 52401-2120
(319) 558-0322
(319) 558-0324

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
48592
CO
207RH0003X
Hematology & Oncology Physician
4301042277
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102828505
MI
05
87989271
CO
Enumeration date
03/24/2006
Last updated
09/02/2016
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