Individual
DR. GREGORY PAUL BURKARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150
(530) 543-5554
(530) 541-3016
Mailing address
1111 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150-6207
(530) 543-5659
(530) 541-8723
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A16079
CA
208100000X
Physical Medicine & Rehabilitation Physician
DO2315
NV
Other
Enumeration date
06/11/2013
Last updated
08/30/2018
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