Organization
ERNEST G BURCH MD PC
Active
Other names
Ernest G Burch MD
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST G BURCH MD (PRES)
(251) 633-8881
Entity
Organization
Contact information
Practice address
6701 AIRPORT BLVD, SUITE B217, MOBILE, AL 36608-6705
(251) 633-8881
(251) 633-0467
Mailing address
6701 AIRPORT BLVD, SUITE B217, MOBILE, AL 36608-6705
(251) 633-8881
(251) 633-0467
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23467
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009946570
—
AL
01
—
10910160
CAQH
AL
01
—
51507815
BLUE CROSS
AL
Enumeration date
10/19/2006
Last updated
02/05/2010
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