Organization
ANDREW D. BURCH JR. MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA MOLYNEUX (OFFICE MANAGER)
(251) 345-8878
Entity
Organization
Contact information
Practice address
3715 DAUPHIN ST, SUITE 6-D, MOBILE, AL 36608-1771
(251) 345-8878
(251) 345-8095
Mailing address
PO BOX 91436, MOBILE, AL 36691-1436
(251) 460-0326
(251) 460-2846
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18434
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02307363
—
MS
01
—
J852
MEDICARE GROUP #
AL
Enumeration date
12/12/2007
Last updated
04/14/2008
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