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Individual

B FORREST BURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1055 ROBERTA LANE, # 103, SPARKS, NV 89431
(775) 331-2600
(775) 331-2605
Mailing address
1055 ROBERTA LANE, # 103, SPARKS, NV 89431
(775) 331-2600
(775) 331-2605

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
8968
NV
208100000X
Physical Medicine & Rehabilitation Physician
Primary
6253
NV

Other

Enumeration date
01/12/2006
Last updated
05/09/2011
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