Organization
DENISE A. BURKE M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE ANN BURKE M.D. (PRESIDENT)
(541) 779-4575
Entity
Organization
Contact information
Practice address
749 GOLF VIEW DR, SUITE A, MEDFORD, OR 97504-9654
(541) 779-4575
Mailing address
749 GOLF VIEW DR, SUITE A, MEDFORD, OR 97504-9654
(541) 779-4575
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD17669
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073486
—
OR
01
—
R0000BLCGB
MEDICARE NUMBER
—
Enumeration date
09/30/2007
Last updated
11/15/2009
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