Individual
CHARLES RYAN BURKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 PACIFIC AVE STE 2, AUDUBON, IA 50025-1056
(712) 563-4611
(412) 563-2498
Mailing address
515 PACIFIC AVE, AUDUBON, IA 50025-1056
(402) 505-2622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44629
IA
Other
Enumeration date
03/21/2015
Last updated
09/27/2018
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