Individual
DR. BRUCE TODD BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
300 HILLMONT AVE, VENTURA, CA 93003-1651
(805) 652-6000
Mailing address
4234 EUBANK BLVD NE APT 11, ALBUQUERQUE, NM 87111-3438
(505) 504-2633
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
C55912
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4301078708
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5200944
—
MI
Enumeration date
01/30/2007
Last updated
10/15/2025
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