Organization
BRET O BURQUEST MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRET BURQUEST (PRESIDENT)
(704) 541-0800
Entity
Organization
Contact information
Practice address
1515 MOCKINGBIRD LANE, SUITE 530, CHARLETTE, NC 28209
(704) 541-0800
Mailing address
1515 MOCKINGBIRD LANE, SUITE 530, CHARLETTE, NC 28209
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
29082
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8919926
—
NC
Enumeration date
08/30/2006
Last updated
08/22/2020
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