Individual
DR. JOHN D BURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
516 PEGRAM DR, TUPELO, MS 38801-6347
(662) 844-6272
(662) 844-1603
Mailing address
516 PEGRAM DR, TUPELO, MS 38801-6347
(662) 844-6272
(662) 844-1603
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
7919
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123008
—
MS
Enumeration date
07/10/2006
Last updated
11/29/2007
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