Individual
MADISON BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1900
(602) 933-1918
Mailing address
315 N SAN SABA, SAN ANTONIO, TX 78207-3154
(210) 704-4275
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10003
AZ
363A00000X
Physician Assistant
Primary
PA19544
TX
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207801
—
AZ
Enumeration date
12/09/2022
Last updated
10/03/2025
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