Individual
DR. SHANE BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2202
(415) 353-2993
(415) 353-2248
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A88487
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A884870
—
CA
Enumeration date
06/23/2006
Last updated
06/16/2008
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