Individual
GERALD M. BURGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
101 MEDICAL DR., BYLAS, AZ 85530
(928) 475-7142
Mailing address
1214 E DAOU DR, GLOBE, AZ 85501-2089
(928) 425-0981
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
009907
GA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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