Individual
DR. ROGER LEE BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
124 W 4TH AVE, CANEY, KS 67333-1460
(620) 879-2020
(620) 879-5381
Mailing address
PO BOX 39, CANEY, KS 67333-0039
(620) 879-2415
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1031-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091060A
—
KS
Enumeration date
09/13/2006
Last updated
02/07/2008
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