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Individual

RICHARD J BURCH

Active
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Individual

RICHARD J BURCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD108310
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
118801
BLUE CHOICE
MO
01
1583207
UNITED HEALTHCARE
MO
01
2086826501
KANSAS MEDICAID
MO
01
415917
HEALTHLINK
MO
Enumeration date
05/08/2006
Last updated
12/24/2007
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