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Individual

CARL R BURGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
77 NEALY AVE, HAMPTON, VA 23665-2040
(757) 225-7630
Mailing address
PO BOX 37090, BALTIMORE, MD 21297-3090
(703) 295-9360
(703) 295-9369

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
185643
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
0024169972
VA

Other

Enumeration date
05/04/2010
Last updated
04/25/2018
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