Individual
DR. JOHN RUSSELL BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4104 RICHARDS RD, NORTH LITTLE ROCK, AR 72117-2652
(501) 224-5658
(501) 224-8114
Mailing address
201 EXECUTIVE CT STE A, LITTLE ROCK, AR 72205-4536
(501) 224-5658
(501) 224-8114
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
E12133
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234553001
—
AR
Enumeration date
05/18/2015
Last updated
02/28/2023
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