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Individual

GEORGE W BURKE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1603 SANTA ROSA RD, SUITE 101, RICHMOND, VA 23229-5010
(804) 320-4243
(804) 622-0552
Mailing address
1000 BOULDERS PKWY, SUITE 102, RICHMOND, VA 23225-5545
(804) 320-4243
(804) 622-0552

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101020520
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006082122
VA
01
006895400
BLACK LUNG
VA
01
015974
ANTHEM HEALTHKEEPERS
VA
01
021781
CIGNA
VA
01
110014425
RAILROAD MEDICARE
VA
01
2060296
AETNA HMO
VA
01
30638
CARENET
VA
01
4800154
UNITED HEALTHCARE
VA
01
557515
AETNA
VA
01
59271
SOUTHERN HEALTH
VA
01
81752
MAMSI
VA
Enumeration date
07/14/2006
Last updated
11/14/2013
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