Organization
P. ROMAN BURK DPM, PC
Active
Parent organization
P. ROMAN BURK DPM, PC
Other names
Foot & Ankle Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
P. ROMAN BURK DPM, PC
Authorized official
DR. PHILIP BURK DPM (OWNER)
(208) 459-0891
Entity
Organization
Contact information
Practice address
1818 S 10TH AVE, SUITE 250, CALDWELL, ID 83605-4803
(208) 459-0891
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
01/02/2012
Last updated
04/26/2012
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