Individual
EDWARD BURKHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15784 MEDICAL ARTS DR, STE B, HAMMOND, LA 70403-1747
(985) 230-7400
(985) 230-7401
Mailing address
PO BOX 2668, BUSINESS CTR - INS CREDENTIALING, HAMMOND, LA 70404-2668
(985) 230-1682
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
342826
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2017
Last updated
10/11/2024
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