Individual
JEFFREY BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4000
Mailing address
3924 MAGNOLIA ST, COLORADO SPRINGS, CO 80907-4535
(719) 660-6082
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.020220004
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0993051-CRNA
CO
Other
Enumeration date
01/03/2017
Last updated
01/22/2018
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