Individual
DEREK BURKUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3929 E BELL RD, PHOENIX, AZ 85032-2112
(602) 923-5622
Mailing address
3807 N 87TH ST, SCOTTSDALE, AZ 85251-5032
(602) 531-8001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4501
AZ
363AM0700X
Medical Physician Assistant
PA9104392
FL
Other
Enumeration date
10/22/2007
Last updated
03/08/2017
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